摘要
目的观察腹腔镜低位直肠癌保肛手术与传统开腹手术治疗低位直肠癌的临床疗效。方法 90例低位直肠癌根据手术方案不同分为研究组与对照组,研究组行腹腔镜低位直肠癌保肛手术,对照组行传统开腹手术。观察、对比两组的术中出血量、手术时间、保肛率、术中及术后输血率、术后肠道功能恢复时间、住院时间和术后并发症。结果研究组与对照组比较,术中出血量(297.3±185.3)ml vs.(370.1±198.3)ml,手术时间(221.3±51.3)min vs.(245.3±55.0)min,术中及术后输血率2.22%,对照组术中比较均有显著性差异(P<0.05);与对照组比较研究组术后肠道功能恢复时间[(3.8±1.7)d vs.(2.3±1.6)d,P<0.05]和术后并发症发生率[35.56%vs.15.56%,P<0.05]。结论腹腔镜低位直肠癌保肛手术治疗低位直肠癌的临床疗效优于传统开腹手术,损伤小,肠道功能恢复快,并发症较少,值得推广。
Objective To observe the clinical efficacy of laparoscopic assisted sphincter- preserving surgery and conventional open surgery in low rectal cancer. Method 90 patients with low rectal cancer were divided into research group and control group according to different operative plans. The research group adopted the laparoscopic assisted sphincter- preserving surgery and control group adopted the conventional open surgery. Intraoperative blood loss,operation time,preserving rate of sphincter,intraoperative/postoperative transfusion rate were observed. The postoperative recovery time of intestinal function,hospitalization time as well as postoperative complications of two groups were compared. Result Intraoperative blood loss,operation time and intraoperative/postoperative transfusion rate in research group were（297.3±185.3） ml,（221.3±51.3） min and 2.22 % while intraoperative blood loss,operation time and intraoperative/postoperative transfusion rate in control group were（370.1 ± 198.3）ml,（245.3 ± 55.0）min and 13.33%（P〈0.05）;Postoperative recovery time of intestinal function [（2.3±1.6）d vs.（3.8±1.7）d,P〈0.05] and the incidence rate of postoperative complications [15.56% vs. 35.56%,P〈0.05] in research group were significantly lower than that of control group. Conclusion For low rectal cancer,the laparoscopic assisted sphincter- preserving surgery have a better clinical efficacy,less injury,faster intestinal function recovery and fewer complications,is thus worthy of promotion.
出处
《外科研究与新技术》
2015年第2期75-77,共3页
Surgical Research and New Technique
关键词
腹腔镜低位直肠癌保肛手术
开腹手术
低位直肠癌
Laparoscopic assisted sphincter-preserving surgery
Open surgery
Low rectal cancer
