摘要
目的探讨低位直肠癌保肛手术后复发的因素。方法对我院低位直肠癌306例的保肛手术后随访结果,按年龄、病理分期、肿瘤至齿状线的距离及保肛手术方式与术后局部复发进行比较分析。结果 pTNMⅢ、Ⅳ期的病人术后复发率明显高于Ⅰ、Ⅱ期的病例,差异有统计学意义;青年组术后复发率明显高于中老年组;分化较好的高中分化腺癌的局部复发率明显低于分化差的低分化及黏液腺癌,两组差异有统计学意义。而肿瘤距齿状线距离以及不同的保肛手术方式与术后复发率无明显相关。结论病人年龄、肿瘤的分期及病理类型是影响低位直肠癌保肛手术后局部复发最重要的因素。
Objective To analyze the causes of recurrence in low rectal carcinoma after low anastomosis operation.Methods According to different age groups,pathological stages,distances from cancer to dentate line and different colon-rectum (anal) anastomosis,the follow-up outcomes of 306 cases of low rectal carcinoma that had undergone surgical treatments were compared and analyzed.Results The postoperative recurrence was high in the patients younger than 30 years old.The recurrent rate in stage Ⅲ and Ⅳ was higher than that in stageⅠandⅡ.The recurrent rate was lower in moderate differentiated adenocarcinoma and well differentiated adenocarcinoma groups than in low differentiated adenocarcinoma and mucous adenocarcinoma groups.There was no correlation between the recurrent rate and the distance from cancer to dentate lines.The different colon-rectum (anal) anastomosis had no effect on the recurrent rate.Conclusion Patient age,staging and pathological types of low rectal carcinoma are the most important factors influencing postoperative local recurrence after low anastomosis.
出处
《临床军医杂志》
CAS
2010年第4期503-505,共3页
Clinical Journal of Medical Officers
关键词
直肠肿瘤
低位吻合
肿瘤局部复发
回顾性研究
rectal neoplasm
low anastomosis
local recurrence
retrospective study
