Frigell A, Ottander M, Stenbeck H, Påhlman L
Department of Surgery, Akademiska Sjukhuset, University of Uppsala, Sweden.
Ann Chir Gynaecol. 1990;79(1):26-30.
The functional results of surgery for rectal carcinoma were evaluated in 68 patients, 37 treated with anterior resection and 31 with abdominoperineal resection. The patients answered a questionnaire 8-84 months after surgery regarding bowel habits, urgency, incontinence and quality of life. Those who had undergone anterior resection had significantly more frequent bowel movements per day than those treated with abdominoperineal resection, and problems with urgency and flatus. Significantly more patients treated with anterior resection used medication to achieve normal bowel function. Despite the problems of frequent bowel movement, urgency, flatulence and the need for frequent medication, the patients who had undergone sphincter-saving procedures seemed to have a better quality of life than those treated with abdominoperineal resection.
对68例直肠癌手术患者的功能结果进行了评估，其中37例行前切除术，31例行腹会阴联合切除术。患者在术后8 - 84个月回答了一份关于排便习惯、便急、失禁和生活质量的问卷。接受前切除术的患者每天排便次数明显多于接受腹会阴联合切除术的患者，且存在便急和肠胃胀气问题。接受前切除术的患者中，使用药物来实现正常 bowel 功能的人数明显更多。尽管存在排便频繁、便急、肠胃胀气以及需要频繁用药等问题，但接受保留括约肌手术的患者的生活质量似乎比接受腹会阴联合切除术的患者更好。
