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- W3031053057 abstract "ObjectiveTo investigate the clinical effect of the external abdominal perineal resection combined with pelvic floor reconstruction on rectal cancer.MethodsOne hundred and six patients with rectal cancer from June 2012 to September 2014 were selected as the research object, using a random number table method, they were divided into observation group and control group, with 53 cases in each group. The control group underwent extralevator abdominoperineal resection, the observation group with extralevator abdominoperineal resection combined with biological mesh pelvic floor reconstruction treatment. The general surgical indicators, recovery of pelvic floor function 1 months after operation and long term follow-up were compared between the two groups.ResultsThe operation time, intraoperative hemorrhage in observation group were (259.58±42.07)min, (226.75±21.06) ml respectively, which were more than those in the control group, there were significant differences (P 0.05); in observation group, the incidence of perineal incision dehiscence, unhealing of incision, delayed healing of incision and perineal hernia were lower than those in control group, there were significantly differences (P 0.05). The observation group had no adverse reaction of biological patch infection, abrasion, erosion and rejection.ConclusionsExtralevator abdominoperineal resection combined with biological mesh pelvic floor reconstruction in treatment of rectal cancer compared with simple extralevator abdominoperineal resection, with longer operative time, more intraoperative bleeding, but can repair patients’ pelvic structure, significantly reduce the incidence of postoperative complications of perineal incision, and long term follow-up results are similar to those of simple external abdominal perineal resection, so it is worthy of clinical application.Key words: Combined resection of the external abdominal perineal resection of the levator ani muscle; Biological repair of pelvic floor reconstruction; Rectal cancer; Clinical effect" @default.
- W3031053057 created "2020-06-05" @default.
- W3031053057 creator A5029398865 @default.
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- W3031053057 date "2017-04-10" @default.
- W3031053057 modified "2023-09-27" @default.
- W3031053057 title "Clinical study on the treatment of rectal cancer with the combination of the external abdominal perineal resection and the pelvic floor reconstruction" @default.
- W3031053057 doi "https://doi.org/10.3760/cma.j.issn.1674-4756.2017.07.012" @default.
- W3031053057 hasPublicationYear "2017" @default.
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