摘要
目的观察腹腔镜下Mile's手术和改良Bacon's手术治疗直肠癌的临床疗效。方法回顾性分析我院2007年6月至2012年6月收治的64例直肠癌患者的临床资料,根据手术方式分为对照组和观察组,对照组31例行腹腔镜辅助Mile's手术,观察组33例行腹腔镜辅助Bacon's手术。分别对两组围手术期指标、术后排便功能及生存情况进行比较分析。结果对照组和观察组手术时间、术中出血量、并发症发生率、住院时间及淋巴结清扫数量比较差异无统计学意义(P>0.05)。观察组排便功能恢复的时间显著低于对照组,差异具有统计学意义(P<0.05)。观察组和对照组患者3年生存率、复发率及转移率比较差异无统计学意义(P>0.05)。结论腹腔镜下Mile's手术和改良Bacon's手术疗效相当,但改良Bacon's手术患者术后排便功能恢复快。
Objective To explore the clinical efficacy of laparoscopic Mile＇s operation and modified Bacon＇s operation in the treatment of rectum cancer. Methods The clinica data of 64 patients with rectum cancer from June 2007 to June 2012 in our hospital were retrospectively analyzed. The patients were divided into the control group and the study group. Patients in the control group （n=31） were treated with laparoscopic Mile＇s operation, while those in the study group （n=33） were treated with laparoscopic modified Bacon＇s operation. The perioperative indicators, postoperative defecation function and survival situation were analyzed. Results The mean operation time, the mean blood loss, the number of lymph nodes, the length of hospital stay, and the incidence of complications showed no statistically significant difference between the two groups （P〉0.05）. The time of recovering defecation function in the study group was significantly shorter than that in the control group （P〉0.05）. There were no statistically significant difference between the two groups in 3-year survive rate, recurrence rate and transfer rate （P〉0.05）. Conclusion Laparoscopic Mile＇s operation and modified Bacon＇s operation have similar clinical efficacy for treating rectum cancer, but modified Bacon＇s operation result in better defecate function.
出处
《海南医学》
CAS
2013年第7期1038-1040,共3页
Hainan Medical Journal
