摘要
目的:分析老年结直肠癌行腹腔镜结直肠癌根治术对手术指标、胃肠功能及安全性的影响。方法:选择2015年5月-2017年5月在笔者所在医院治疗的128例结直肠癌患者,按术式不同分两组,各64例,对照组行传统开腹手术,观察组行腹腔镜结直肠癌根治术,比较组间手术及并发症情况。结果:观察组手术时间(114.25±17.46)min、术中出血量(48.59±6.97)ml、VAS评分(3.21±1.74)分及住院时间(12.53±2.63)d,均比对照组优(P<0.01),两组淋巴结清除数比较差异无统计意义(P>0.05);观察组肛门排气、腹胀持续的时间(3.24±0.54)、(2.94±0.44)d,均比对照组短,且胃动素含量(78.26±10.54)pg/ml,胃泌素含量(238.56±42.11)pg/ml,均比对照组高,差异有统计学意义(P<0.01);观察组术后并发症发生率10.94%,比对照组的25.00%低,差异有统计学意义(P<0.05)。结论:腹腔镜结直肠癌根治术可有效清除老年结直肠癌患者病灶,减轻疼痛,减少胃肠功能损害,且术后并发症少,加快术后康复。
Objective： To analyze the effects of laparoscopic colorectal radical resection for colorectal carcinoma in the elderly on surgical indicators, gastrointestinal fimction and safety.Method： The clinical data of 128 patients with colorectal cancer treated in our hospital from May 2015 to May 2017 were selected and divided into the control group（n=64） and observation group（n=64） according to different surgical methods.The control group underwent traditional laparotomy, while the observation group underwent laparoscopic cnlorectal radical resection.The two groups were compared in terms of surgery and complications. Result： The operation time （114.25 ± 17.46）rain, intraoperative blood loss （48.59 ± 6.97）ml, visual analog scale（VAS） score （3.21 ± 1.74） and length of hospital stay （12.53 ± 2.63）d of the observation group were better than those of the control group（P〈0.01）.There were no statistically significant differ±nee in terms of number of dissceted lymph nodes between the two groups（P〉0.05）.The durations of anal aerofluxus （3.24 ± 0.54）d and abdominal distention （2.94 ± 0.44）d of the observation group were shorter than those of the control group, and both the motilin （78.26 ± 10.54）pg/ml and gastrin levels （238.56 ± 42.11）pg/ml of the observation group were higher than those of the control group（P〈0.01）, the complication incidence of the observation group was 10.94%, lower than 25.00% of the control group （P〈0.05）. Conclusion ： Laparoscopic colorectal radical resection can effectively eliminate loci of aged patients with eoloreetal cancer, alleviate their pain, reduee damage to gastrointestinal function, decrease postoperative complications and speed up postoperative recovery.
作者
邓波涛
DENG Botao(Jingshan People＇s Hospital, Jingshan431899, Chin)
出处
《中外医学研究》
2018年第8期24-26,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
腹腔镜
结直肠癌
胃肠功能
安全性
Laparoscopy
Colorectal cancer
Gastrointestinal function
Safety
