引用文本：叶如菲, 钟克力. 保肛手术后低位前切除综合征的预防与治疗策略[J/CD]. 消化肿瘤杂志（电子版）, 2025, 17(3):364-370.

作者：叶如菲，钟克力

单位：暨南大学第二临床医学院/深圳市人民医院胃肠外科，广东 深圳 518000

Authors：Ye Rufei，Zhong Keli

Unit：Department of Gastrointestinal Surgery，the Second Clinical Medical College of Jinan University/Shenzhen People's Hospital，Shenzhen 518000，Guangdong，China

摘要：

直肠癌作为我国发病率和死亡率均居高不下的消化道恶性肿瘤之一，其治疗手段一直是临床研究的重点。随着外科手术技术及临床研究的不断进步，保肛手术成为治愈直肠癌患者的有效手段。然而，保肛手术后可能出现的低位前切除综合征不仅严重影响了患者的生活质量，也损害了其心理健康。鉴于此，如何有效预防与治疗低位前切除综合征已成为当前临床实践中亟待解决的难题。本文旨在通过回顾保肛手术后低位前切除综合征的预防与治疗研究进展，为该领域的研究人员提供有临床价值的参考。同时，本文还探讨了该领域面临的挑战以及未来可能的发展方。

关键词：直肠癌；低位前切除综合征；保肛手术；预防；治疗

Abstract：

Rectal cancer is one of the digestive tract malignant tumors with high incidence and mortality rates in China, and its treatment methods have always been the focus of clinical research. With the continuous progress of surgical techniques and clinical research, sphincter-preserving resection (SPR) has become an effective method for treating patients with rectal cancer. However, the low anterior resection syndrome (LARS) that may occur after SPR not only seriously affects the quality of life of patients but also impairs their mental health. In view of this, how to effectively prevent and treat LARS has become an urgent problem to be solved in current clinical practice. This paper aims to provide clinical valuable references for researchers in this field by reviewing the research progress on the prevention and treatment of LARS after SPR. Meanwhile, this paper also discusses the challenges faced in this field and the possible future development directions.

Key words：Rectal cancer; Low anterior resection syndrome; Sphincter-preserving resection; Prevention; Treatment

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