摘要
目的探讨改良截石位在腹腔镜结直肠癌手术中的临床应用效果。方法筛选2012年1月—2014年7月我院收治的结直肠癌患者78例作为研究对象,采取随机数字表法将所有患者分为改良组与对照组,每组39例,2组患者均行腹腔镜下结直肠癌手术,对照组患者采取常规体位摆放,改良组患者采取改良截石位即头低脚高截石位进行手术。比较2组患者手术时间及术后并发症发生率。结果 2组患者手术后病情均有所改善,改良组患者手术时间(2.3±0.5)h,术后发生腹部疼痛1例、麻木1例、肿胀0例,与对照组比较存在显著差异(P<0.05)。结论改良截石位应用于腹腔镜结直肠癌手术可显著降低手术时间及术后并发症发生率,因此临床治疗过程中应注意术中患者的体位摆放,以提高手术治疗效果与患者的预后。
Objective To investigate the clinical application of modified lithotomy position node in laparoscopic operation for rectal cancer. Methods 2013 January to 2014 June screening in our hospital 78 cases of colorectal cancer patients as the research object. Take a random number table method all patients were divided into improvement group and control group,39 cases in each group,two groups of patients underwent laparoscopic colorectal cancer operation,patients in control group took normal body position,improved group had modified lithotomy position that the Trendelenburg lithotomy position for operation,compared two groups of patients with operation time and operation the incidence rate of complications. Results the two groups of patients after the operation condition are improved,the improvement of groups of patients with operation time （2.3±0.5）h,the occurrence of abdominal postoperative pain in 1 cases,1 cases of numbness,swelling in 0 cases,P〈0.05 compared with the control group there were significant differences,with statistical significance. Conclusion The modified lithotomy position in the application of laparoscopic can significantly reduce the incidence of operation time and postoperative complications in rectal cancer operation,and therefore should pay attention to in the technique the patient body position in the process of clinical treatment,in order to improve the effect of operation treatment and postoperative prognosis.
出处
《基层医学论坛》
2015年第11期1441-1442,共2页
The Medical Forum
关键词
结直肠癌手术
腹腔镜
改良截石位
应用效果
Colorectal cancer operation
Laparoscopic
Modified lithotomy position
Clinical effect
