目的 探讨肛门内镜联合腹腔镜手术治疗早期直肠癌的临床价值。方法 选取2017年1月—2021年12月进行腹腔镜手术治疗的37例早期直肠癌患者作为腹腔镜组,同期选取行肛门内镜联合腹腔镜手术治疗的69例早期直肠癌患者作为联合组,回顾性分析两组临床资料。结果 两组手术时间、术中出血量、淋巴结清扫数目无差异（P>0.05）;联合组腹壁切口长度、术后排气时间、术后下床活动时间及住院时间均显著短于腹腔镜组（P<0.05）,并发症发生率亦显著低于腹腔镜组（P<0.05）。结论 与传统腹腔镜手术相比,肛门内镜联合腹腔镜手术治疗早期直肠癌有利于术后恢复,减少并发症,有较好临床应用价值。

Objective To investigate the clinical value of anal endoscopy in combination with laparoscopic surgery in the treatment of early rectal cancer. Methods Thirty-seven patients with early rectal cancer who underwent laparoscopic surgery from January 2017 to December 2021 were selected as the laparoscopic group, and 69 patients with early rectal cancer who underwent anal endoscopy combined with laparoscopic surgery during the same period were selected as the combined group. The clinical data of the two groups were retrospectively analyzed. Results There were no significant differences in operation time, intraoperative blood loss volume, and number of lymph node dissection between the two groups （P>0.05）. The abdominal incision length, postoperative exhaust time, postoperative ambulation time, and length of hospital stay in the combined group were significantly shorter than those in the laparoscopic group （P<0.05）, and the incidence rate of complications was also significantly reduced in the combined group （P<0.05）. Conclusion Compared with traditional laparoscopic surgery, anal endoscopy in combination with laparoscopic surgery in the treatment of early rectal cancer is beneficial to postoperative recovery of patients, and can reduce the incidence of complications, showing promising clinical application value.