[直肠癌手术治疗分析]

[Analysis of the surgical treatment of rectal cancer].

作者信息

Marinich Iu V, Cherepanov F S, Ryliuk A F

出版信息

Vopr Onkol. 1991;37(5):592-5.

Abstract

Radical surgery was performed in 242 cases of rectal cancer. Female patients made up 60.3% of the group. Stage distribution was as follows: T1-13.3%, T2-21, T3-53.7 and T4-12% of patients. Lower ampullar part of the rectum was affected in 21.5% of cases whereas mid- and upper ampullar and rectosigmoid parts--in 28.1, 30.6 and 19.8% of cases, respectively. Exophytic tumors were registered in 49.6% of patients. Sphincter-saving surgery was performed in 68.2% of cases. In a group of 73 patients in whom abdomino-anal resection was performed prior to introduction of revascularization of withdrawn intestine, withdrawal was carried out in 65.8% of cases whereas in 34.2% anus preternaturalis was formed. Subsequently, local necrosis was encountered in 14.6% of cases while extensive one--in 8.3%. After the advent of revascularization, withdrawal was carried out in 95.4% of 44 operated patients. No necrotic changes were observed.

摘要

对242例直肠癌患者实施了根治性手术。女性患者占该组的60.3%。分期分布如下：T1期患者占13.3%，T2期占21%，T3期占53.7%，T4期占12%。直肠下壶腹部受累的病例占21.5%，而直肠中壶腹部、上壶腹部和直肠乙状结肠部分受累的病例分别占28.1%、30.6%和19.8%。49.6%的患者为外生性肿瘤。68.2%的病例实施了保肛手术。在一组73例在对切除肠段进行血管重建之前接受腹会阴切除术的患者中，65.8%的病例进行了肠段切除，而34.2%的病例形成了人工肛门。随后，14.6%的病例出现局部坏死，而广泛坏死的病例占8.3%。在实施血管重建后，44例接受手术的患者中有95.4%进行了肠段切除。未观察到坏死变化。