摘要
为观察腹腔镜微创术治疗结直肠肿瘤患者的临床效果,选取2017年2月至2018年2月于甘肃省金塔县人民医院普外科接受治疗的结直肠肿瘤患者68例,采用奇偶分组法分为对照组和观察组,每组各34例。对照组采用传统开腹手术治疗,观察组采用腹腔镜微创手术治疗。观察比较2组患者的临床指标及并发症发生情况。结果显示,观察组患者手术时间(174.42±5.54) min、切口直径(4.51±2.03) cm、术中出血量(135.65±9.86) mL、住院时间(8.87±2.10) d,均优于对照组的(201.39±7.29)min、(20.14±4.47)cm、(202.24±14.48)mL、(13.39±3.86)d,2组比较差异有统计学意义(P<0.05)。观察组患者并发症发生率为5.88%(2/34),低于对照组的20.59%(7/34),差异有统计学意义(P <0.05)。结果表明,腹腔镜微创手术治疗结直肠肿瘤患者,其临床效果优于传统开腹手术,且并发症发生率低,住院时间短,值得临床推广应用。
To observe the clinical effect of laparoscopic microsurgery for colorectal neoplasms,the 68 cases of this neoplasms who were admitted and received surgery in author＇s hospital（2017-02--2018-02） were randomly divided into control group（34 cases, adopted routine open surgery） and observation one（34 cases, adopted laparoscopic microsurgery）, then both groups＇ clinical indicators and complication incidence status were compared.As results,in operative time, in incision diameter, in intraoperative bleeding volume, in hos- pitalization time,observation group was all superior to control one[（174.42±5.54） min vs （201.39±7.29） min,（4.51±2.03） cm vs （20.14±4.47） cm,（135.65 ±9.86） mL vs （202.24±14.48） mL,（8.87±2.10） d vs （13.39±3.86） d, P 〈0.05];the complication incidence of observation group was significantly lower than that of control one,there was statistical difference between them [5.88% （2/34） vs 20.59（7/34）, P〈0.05].Results show that laparoscopic microsurgery for colorectal neoplasms has better clinical effect than open operation, and lower complication incidence, shorter hospital stay time.It is worthy of clinical popular- ization and application.
作者
李兴禹
何立春
卢永宝
王浩楠
LI Xing-yu;HE Li-chun;LU Yong-bao;WANG Hao-nan(Jinta County＇s People＇s Hospital,General Surgery Dept,Jinta,Gansu 73530)
出处
《中国肛肠病杂志》
2018年第9期10-12,共3页
Chinese Journal of Coloproctology
关键词
结直肠肿瘤
腹腔镜
微创性
传统手术
疗效
Colorectal neoplasm
Laparoscope
Minimally invasive operation
Routine surgery
Effect
