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中华普外科手术学杂志(电子版) ›› 2025, Vol. 19 ›› Issue (06) : 701 -704. doi: 10.3877/cma.j.issn.1674-3946.2025.06.028

综述

功能保留手术在低位直肠癌治疗中的研究进展
贺雅莉(), 黄丽, 杨培娟   
  1. 610041 成都,四川大学华西医院全科(特需)病房
  • 收稿日期:2025-07-24 出版日期:2025-12-26
  • 通信作者: 贺雅莉

Research progress of function-preserving surgery in the treatment of low rectal cancer

Yali He(), Li Huang, Peijuan Yang   

  1. General Practice Medical Center, West China Hospital, Sichuan University, Chengdu Sichuan Province 610041, China
  • Received:2025-07-24 Published:2025-12-26
  • Corresponding author: Yali He
引用本文:

贺雅莉, 黄丽, 杨培娟. 功能保留手术在低位直肠癌治疗中的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(06): 701-704.

Yali He, Li Huang, Peijuan Yang. Research progress of function-preserving surgery in the treatment of low rectal cancer[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(06): 701-704.

近年来,低位直肠癌的外科治疗研究已取得丰硕成果,尤其是功能保留手术的应用,令肿瘤预后及患者生活质量得以进一步改善。本文介绍了低位直肠癌功能保留手术的最新进展,总结了肛门括约肌功能与泌尿生殖功能的评估与监测方法,并讨论了影响肿瘤预后的手术相关因素。未来研究方向应聚焦于优化功能保留手术的综合策略与个体化精准治疗,通过多中心前瞻性随机对照试验验证不同手术方式的近远期疗效,在肿瘤根治与功能保留之间找到平衡,以进一步提高治疗效果和患者生活质量。

In recent years, significant achievements have been made in the research on surgical treatment of low rectal cancer, especially the application of function-preserving surgery, which has further improved tumor prognosis and patients’ quality of life. This article introduces the latest progress in function-preserving surgery for low rectal cancer, summarizes the evaluation and monitoring methods for anal sphincter function and urogenital function, and discusses the surgery-related factors affecting tumor prognosis. Future research directions should focus on optimizing the comprehensive strategies of function-preserving surgery and individualized precision treatment, verifying the short-term and long-term efficacy of different surgical methods through multi-center prospective randomized controlled trials, and finding a balance between tumor radical cure and function preservation, so as to further improve the treatment effect and patients’ quality of life.

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