高龄低位直肠癌患者保肛手术后控便功能分析
R735.2; 背景与目的:虽然保肛手术已在当前的直肠癌根治手术中占主导地位,但多数外科医生由于担心患者术后控便功能下降,都不愿向高龄低位直肠癌患者推荐低位吻合术.本研究对高龄低位直肠癌患者保肛术后肛门控便情况进行探讨和分析.方法:选取高龄低位直肠癌病例80例,分成两个年龄组,≥75岁年龄组39例,60～74岁年龄组41例,收集患者的临床资料,包括治疗手段、并发症等.术后18个月内对患者肠道功能、控便情况及满意度等资料进行随访记录,并对两组患者术后控便情况进行比较.结果:术后18个月,79例(98.8%)患者生存,76例可评价肛门控便情况,其中≥75岁年龄组36例,60～74岁年龄组40例.术...
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| Published in | 癌症 Vol. 24; no. 10; pp. 1257 - 1260 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | Chinese |
| Published |
第二军医大学附属长海医院肛肠外科,上海,200433
2005
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1000-467X |
| DOI | 10.3321/j.issn:1000-467X.2005.10.018 |
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| Abstract | R735.2; 背景与目的:虽然保肛手术已在当前的直肠癌根治手术中占主导地位,但多数外科医生由于担心患者术后控便功能下降,都不愿向高龄低位直肠癌患者推荐低位吻合术.本研究对高龄低位直肠癌患者保肛术后肛门控便情况进行探讨和分析.方法:选取高龄低位直肠癌病例80例,分成两个年龄组,≥75岁年龄组39例,60～74岁年龄组41例,收集患者的临床资料,包括治疗手段、并发症等.术后18个月内对患者肠道功能、控便情况及满意度等资料进行随访记录,并对两组患者术后控便情况进行比较.结果:术后18个月,79例(98.8%)患者生存,76例可评价肛门控便情况,其中≥75岁年龄组36例,60～74岁年龄组40例.术后3个月肛门功能评价显示≥75岁年龄组较60～74岁年龄组差(P＜0.05),但术后半年时这种差异无统计学意义(P＞0.05).术后排便次数恢复正常的时间:≥75岁年龄组较60～74岁年龄组虽有所延长,但无显著性差异(P＞0.05).≥75岁年龄组术后13例出现了Ⅰ度失禁的表现,与60～74岁年龄组有显著性差异(P＜0.05).患者术后大便失禁经药物治疗后症状可缓解.结论:老年低位直肠癌患者保肛术后能保持较好的控便能力,高龄不应成为低位直肠癌保肛术的禁忌证. |
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| AbstractList | R735.2; 背景与目的:虽然保肛手术已在当前的直肠癌根治手术中占主导地位,但多数外科医生由于担心患者术后控便功能下降,都不愿向高龄低位直肠癌患者推荐低位吻合术.本研究对高龄低位直肠癌患者保肛术后肛门控便情况进行探讨和分析.方法:选取高龄低位直肠癌病例80例,分成两个年龄组,≥75岁年龄组39例,60～74岁年龄组41例,收集患者的临床资料,包括治疗手段、并发症等.术后18个月内对患者肠道功能、控便情况及满意度等资料进行随访记录,并对两组患者术后控便情况进行比较.结果:术后18个月,79例(98.8%)患者生存,76例可评价肛门控便情况,其中≥75岁年龄组36例,60～74岁年龄组40例.术后3个月肛门功能评价显示≥75岁年龄组较60～74岁年龄组差(P＜0.05),但术后半年时这种差异无统计学意义(P＞0.05).术后排便次数恢复正常的时间:≥75岁年龄组较60～74岁年龄组虽有所延长,但无显著性差异(P＞0.05).≥75岁年龄组术后13例出现了Ⅰ度失禁的表现,与60～74岁年龄组有显著性差异(P＜0.05).患者术后大便失禁经药物治疗后症状可缓解.结论:老年低位直肠癌患者保肛术后能保持较好的控便能力,高龄不应成为低位直肠癌保肛术的禁忌证. |
| Author | 于恩达 邢俊杰 喻德洪 孟荣贵 鲁兵 傅传刚 金国祥 刘连杰 |
| AuthorAffiliation | 第二军医大学附属长海医院肛肠外科,上海,200433 |
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| Title | 高龄低位直肠癌患者保肛手术后控便功能分析 |
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