Li Wenna, Yang Ming, Huang Jinchang, Zhang Qiaoli
The Third Affiliated Hospital, Beijing University of Chinese Medicine, Beijing, China.
Institute of Acupuncture and Moxibustion in Cancer Care, Beijing University of Chinese Medicine, Beijing, China.
Front Med (Lausanne). 2025 Jun 18;12:1517325. doi: 10.3389/fmed.2025.1517325. eCollection 2025.
This study reports two cases of rectal cancer patients who developed low anterior resection Syndrome (LARS) following rectal cancer surgery. Both patients presented with significant bowel dysfunction, including frequent defecation, urgency, fecal incontinence, and incomplete evacuation. Current treatments for LARS are limited by variable responses, high costs, and adherence issues, highlighting the need for practical, safe therapies with minimal side effects. The patients underwent a 6-month electroacupuncture treatment targeting Baliao points. Assessments were conducted using the LARS score, Wexner fecal incontinence score, and the EORTC QLQ-C30 scale. Results indicated a marked reduction in bowel frequency, significant relief of fecal incontinence symptoms, and improvement in overall health status and quality of life. In addition, emotional and cognitive functions were enhanced. These case reports suggest that electroacupuncture may be a valuable adjunctive treatment for managing LARS and improving patient emotional status and quality of life. Further high-quality research is necessary to evaluate the long-term efficacy of this treatment fully.
本研究报告了两例直肠癌患者在直肠癌手术后出现低位前切除综合征（LARS）的病例。两名患者均出现明显的肠道功能障碍，包括排便频繁、急迫感、大便失禁和排便不净。目前针对LARS的治疗受到疗效不一、成本高昂和依从性问题的限制，凸显了对具有最小副作用的实用、安全疗法的需求。患者接受了为期6个月的针对八髎穴的电针治疗。使用LARS评分、Wexner大便失禁评分和欧洲癌症研究与治疗组织核心生活质量问卷（EORTC QLQ-C30）量表进行评估。结果表明排便频率显著降低，大便失禁症状明显缓解，整体健康状况和生活质量得到改善。此外，情绪和认知功能也得到增强。这些病例报告表明，电针可能是管理LARS以及改善患者情绪状态和生活质量的一种有价值的辅助治疗方法。需要进一步开展高质量研究以全面评估该治疗方法的长期疗效。
