摘要
目的对比开腹手术与腹腔镜手术治疗结直肠癌的临床疗效及术后肠梗阻发生情况。方法 72例结直肠癌患者作为研究对象,将患者随机分成实验组和对照组,每组36例。给予对照组患者传统开腹手术治疗,给予实验组腹腔镜手术治疗。对比两组患者的手术情况(包括肛门排气时间、住院时间)、肠梗阻发生率。结果实验组患者行右半结肠癌根治术、行左半结肠癌根治术、行直肠癌根治术的肛门排气时间分别为(3.22±1.21)、(3.51±1.07)、(3.63±1.24)d;对照组患者分别为(5.23±1.35)、(5.09±1.65)、(5.28±1.36)d。实验组患者肛门排气时间显著短于对照组,差异有统计学意义(P<0.05)。实验组患者行右半结肠癌根治术、行左半结肠癌根治术、行直肠癌根治术的住院时间分别为(9.69±1.98)、(9.35±2.61)、(8.72±2.63)d;对照组患者分别为(15.73±2.68)、(14.28±3.22)、(14.89±3.37)d。实验组患者住院时间显著短于对照组,差异有统计学意义(P<0.05)。实验组患者结肠癌术后肠梗阻发生率、直肠癌术后肠梗阻发生率、总肠梗阻发生率分别为4.35%(1/23)、7.69%(1/13)、5.56%(2/36),对照组患者分别为16.67%(4/24)、33.33%(4/12)、22.22%(8/36)。实验组患者肠梗阻总发生率显著低于对照组,差异有统计学意义(P<0.05)。结论与传统开腹手术相比,采用腹腔镜手术治疗结直肠癌具有创伤小、出血少、恢复快、肠梗阻发生率低等优点,值得临床大力推广及应用。
Objective To compare the clinical efficacy of open surgery and laparoscopic surgery in the treatment of colorectal cancer and occurrence of postoperative intestinal obstruction. Methods A total of 72 patients with colorectal cancer as study subjects were randomly divided into experimental group and control group, with 36 cases in each group. The control group received traditional open surgery, and the experimental group received laparoscopic surgery. Comparison were made on surgical condition（anus exhausting time and hospitalization time） and incidence of intestinal obstruction between the two groups. Results The experimental group had anus exhausting time of right colon cancer radical surgery, left colon cancer radical surgery and radical rectal cancer respectively as（3.22±1.21）,（3.51±1.07） and（3.63±1.24） d, which were respectively（5.23±1.35）,（5.09±1.65） and（5.28±1.36） d in the control group. The experimental group had obviously shorter anus exhausting time than the control group, and the difference was statistically significant（P〈0.05）. The experimental group had hospitalization time of right colon cancer radical surgery, left colon cancer radical surgery and radical rectal cancer respectively as（9.69±1.98）,（9.35±2.61） and（8.72±2.63） d, which were respectively（15.73±2.68）,（14.28±3.22） and（14.89±3.37） d in the control group. The experimental group had obviously shorter hospitalization time than the control group, and the difference was statistically significant（P〈0.05）. The experimental group had incidence of postoperative intestinal obstruction, colorectal cancer postoperative intestinalobstruction and total intestinal obstruction respectively as 4.35%（1/23）, 7.69%（1/13） and 5.56%（2/36）, which were respectively 16.67%（4/24）, 33.33%（4/12） and 22.22%（8/36） in the control group. The experimental group had obviously lower incidence of total intestinal obstruction than the control group, and the difference was statist
出处
《中国现代药物应用》
2018年第4期16-18,共3页
Chinese Journal of Modern Drug Application
关键词
开腹手术
腹腔镜手术
结直肠癌
术后肠梗阻
Open surgery
Laparoscopic surgery
Colorectal cancer
Postoperative intestinal obstruction
