دراسة سريرية لـ 125 حالة من سرطان المستقيم المنخفض
Abstract
يهدف هذا العمل الى دراسة كيفية مقاربة وتدبير سرطان المستقيم المنخفض, وتقييم وسائل المعالجة المتبعة محلياً, نتائجها خلال فترة سبع سنوات (2006-2000) .
وقد شملت هذه الدراسة 125 مريضاً مصاباً بسرطان المستقيم المنخفض راجعوا مستشفى الأسد الجامعي ومستشفى المواساة الجامعي بدمشق خلال الفترة بين عامي 2000 و2006، وكانت الدراسة استعادية (retrospective) .
ولقد تمثلت نتائج الدراسة في ميل أورام الثلث السفلي للمستقيم لإصابة الذكور من كبار السن. وشكل التغوط المدمى أهم التظاهرات السريرية،وتلاه الزحير الغائطي. وحافظت الإجراءات الحديثة على قابلية الاستئصال مع تحسن إجراء القطع الأمامي المنخفض مقابل البتر البطني العجاني، والمحافظة على المعصرة الشرجية في نسبة أكبر من المرضى.
تم تحويل جميع المرضى إلى مركز الطبي النووي لمتابعة العلاج ، لذلك لم تتم متابعتهم من قبلنا على المدى الطويل .
وكخلاصة لهذه الدراسة تبين بوضوح أن العلاج المتمم ما قبل الجراحة هو وسيلة ممتازة لتحسين البقيا وتخفيض النكس الموضعي وزيادة عدد العمليات المحافظة على المعصرة الشرجية.
The objective of this study is to evaluate our approach to low rectal cancer, to manage and assess the procedures used in the last seven years (2000-2006). The study included 125 patients who had low rectal cancer and who were referred to Al Assad University Hospital and Al Mouassat University Hospital in Damascus between 2000 and 2006. The study was performed retrospectively .
Newer interventions have maintained our ability to totally resect the tumor in addition to improving the proportion of sphincter-preserving procedures, that is to perform low anterior resection rather than abdominoperineal resection. All patients were referred to the nuclear medical center to complete their treatment, so they were not followed by us on the long term.
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