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腹腔镜与开腹手术治疗结直肠癌术后肠梗阻的临床对比 被引量:12

Clinical Comparison of Laparoscopic and Open Surgery for Colorectal Cancer Postoperative Intestinal Obstruction
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摘要 目的对比研究腹腔镜与开腹手术治疗结直肠癌术后肠梗阻的临床疗效。方法选取包头市第四医院和包头肿瘤医院2011年4月-2015年5月收治的结直肠癌患者120例,按照随机分组法把患者分成治疗组和对照组,各60例,对照组采用开腹手术,治疗组采用腹腔镜下结直肠癌手术,观察比较两组患者术后肛门排气时间、住院天数和肠梗阻的发生率。结果观察组术后肠梗组的发生率为6.67%(4/60),低于对照组的28%(15/60),差异具有统计学意义(P〈0.05)。结论腹腔镜下结直肠癌手术是一种微创手术,对患者的失血量少、创伤小,有利于患者术后的快速恢复,肠梗阻的发生率也比常规开腹手术小。 Objective To study the clinical curative effect of laparoscopic and open surgery for colorectal cancer postoperative intestinal obstruction. Methods The fourth hospital of Baotou City and the tumor hospital of Baotou, from April 2011 to May 2015, 120 cases of patients with colorectal cancer were retrospectively analyzed. According to the randomization method, the patients were divided into treatment group and control group, 60 cases in each group, while the control group was treated with open surgery, the treatment group used laparoscopic colorectal cancer surgery were compared between the two groups of patients with postoperative anal exhaust time, hospitalization days and intestinal obstruction the incidence of. Results In the observation group postoperative intestinal stem group occurred rate of 6.67%(4 / 60), which was lower than that of the control group of 25%(15 / 60), the difference has statistical significance(P〈0.05). Conclusion Laparoscopic colorectal surgery is a minimally invasive surgery, the patients with less blood loss, less trauma, is conducive to the rapid recovery of patients after surgery, the incidence of intestinal obstruction is smaller than the conventional open surgery.
出处 《中国继续医学教育》 2016年第23期56-57,共2页 China Continuing Medical Education
关键词 腹腔镜 结直肠癌 肠梗阻 临床对比 Laparoscopy Colorectal cancer Intestinal obstruction Clinical comparison
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