[1]万玉峰.括约肌间切除术与人工肛门重建对低位直肠癌根治术患者术后生活质量的影响[J].医学信息,2023,36(09):98-101.[doi:10.3969/j.issn.1006-1959.2023.09.019]
　WAN Yu-feng.Effect of Intersphincteric Resection and Artificial Anal Reconstruction on Postoperative Quality of Life in Patients Undergoing Low Rectal Cancer Radical Surgery[J].Journal of Medical Information,2023,36(09):98-101.[doi:10.3969/j.issn.1006-1959.2023.09.019]
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括约肌间切除术与人工肛门重建对低位直肠癌根治术患者术后生活质量的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年09期
页码:
98-101
栏目:
论著
出版日期:
2023-05-01

文章信息/Info

Title:
Effect of Intersphincteric Resection and Artificial Anal Reconstruction on Postoperative Quality of Life in Patients Undergoing Low Rectal Cancer Radical Surgery
文章编号:
1006-1959（2023）09-0098-04
作者:
万玉峰
（佳木斯市中心医院普外一科，黑龙江 佳木斯 154003）
Author(s):
WAN Yu-feng
(Department of General Surgery,Jiamusi Central Hospital,Jiamusi 154003,Heilongjiang,China)
关键词:
括约肌间切除术; 人工肛门重建; 低位直肠癌根治术; 生活质量
Keywords:
Intersphincteric resection; Artificial anal reconstruction; Low rectal cancer radical surgery; Quality of life
分类号:
R735.3+7
DOI:
10.3969/j.issn.1006-1959.2023.09.019
文献标志码:
A
摘要:
目的 研究括约肌间切除术与人工肛门重建对低位直肠癌根治术患者术后生活质量的影响。方法 选取2021年6月-2022年6月在我院行低位直肠癌根治术的74例患者为研究对象，采用随机数字表法分为对照组（37例）和观察组（37例）。对照组采用人工肛门重建术，观察组采用括约肌间切除术，比较两组手术指标、疼痛（VAS）评分、排便功能障碍评分、并发症发生率及生活质量水平。结果 观察组手术时间、淋巴结清扫数目与对照组比较，差异无统计学意义（P＞0.05）；观察组术中出血量、肛门排气时间、肠鸣音恢复时间均小于对照组（P＜0.05）；观察组术后1、2、3 d VAS评分均低于对照组（P＜0.05），两组术后7 d VAS评分比较，差异无统计学意义（P＞0.05）；两组术后3个月排便功能障碍评分均高于术前，但观察组低于对照组（P＜0.05）；观察组并发症发生率为10.81%，低于对照组的24.32%（P＜0.05）；观察组术后3个月身体、角色、认知、情绪、社会功能各维度评分均高于对照组（P＜0.05）。结论 低位直肠癌根治选择括约肌间切除术具有相对优势，可提高患者术后生活质量水平，有效改善肛门功能，减轻患者疼痛，并发症少，利于患者术后恢复，是一种可行的治疗方案。
Abstract:
bjective To study the effect of intersphincteric resection and artificial anal reconstruction on postoperative quality of life in patients undergoing low rectal cancer radical surgery.Methods A total of 74 patients who underwent low rectal cancer radical surgery in our hospital from June 2021 to June 2022 were selected as the research objects. They were divided into control group (37 cases) and observation group (37 cases) by random number table method. The control group was treated with artificial anal reconstruction, and the observation group was treated with intersphincteric resection. The surgical indicators, pain (VAS) score, defecation dysfunction score, complication rate and quality of life were compared between the two groups.Results There was no significant difference in the operation time and the number of lymph node dissection between the observation group and the control group (P>0.05). The intraoperative blood loss, anal exhaust time and recovery time of bowel sounds in the observation group were less than those in the control group (P<0.05). The VAS scores of the observation group were lower than those of the control group at 1, 2 and 3 days after operation (P<0.05). There was no significant difference in VAS scores between the two groups at 7 days after operation (P>0.05). The scores of defecation dysfunction in the two groups at 3 months after operation were higher than those before operation, but those in the observation group were lower than those in the control group (P<0.05). The incidence of complications in the observation group was 10.81%, which was lower than 24.32% in the control group (P<0.05). The scores of body, role, cognition, emotion and social function in the observation group were higher than those in the control group at 3 months after operation (P<0.05).Conclusion Intersphincteric resection has a comparative advantage in the radical treatment of low rectal cancer, which can improve the quality of life of patients after surgery, effectively improve anal function, reduce pain, reduce complications, and facilitate postoperative recovery. It is a feasible treatment plan.

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更新日期/Last Update: 1900-01-01