摘要
目的 比较保肛与非保肛两种直肠癌根治术应用全直肠系膜切除 (totalmesorectalexcision ,TME)后的局部复发率的 (localrecurrencerate ,LRR)差异。 方法 1 73例直肠癌患者分 2组(Dixon组 1 2 3例 ,Miles组 50例 ) ,按Heald法行TME。 结果 Dixon组与Miles组的总LRR分别为4 8% (6/ 1 2 3)与 1 8 0 % (9/ 50 ) ,P <0 0 5 ;1 997年以前Miles组的LRR为 36 8% (7/ 1 9) ,显著高于 1 997年以后Miles组的 6 5 % (2 / 31 ) ,P <0 0 5 ;前者与Dixon组的LRR 4 8%相比差异有非常显著性意义 ,后者与Dixon组相比差异无显著性意义 ,P >0 0 5。 结论 TME是降低
Objective To compare the difference in local recurrence Dixon and Miles groups after total mesorectal excision. Methods One hundred and seventy three patients with rectal cancer were divided into two groups (Dixon group, 123 patients; Miles group 50 patients). Total mesorectal excision was made according to Heald's method. Results The local recurrence in the Dixon and Miles groups was 4.8% (6/123) and 18 0% (9/50) respectively ( P < 0 05), and in the Miles group before and after 1997 was 36 8% (7/19) and 6 5% (2/31) respectively ( P < 0 05), 4 8% in LRR ( P < 0 01). No significant difference was observed in the local recurrence between the two groups ( P > 0 05). Conclusion Total mesorectal excision is an important factor reducing local recurrence after radical operation for rectal cancer.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2002年第11期820-821,共2页
Chinese Journal of Surgery
