摘要
目的 :对比用腹腔镜直肠低位切除术(Dixon术)与开腹Dixon术治疗中低位直肠癌的效果。方法 :将2015年8月至2017年8月期间渠县人民医院收治的92例中低位直肠癌患者作为研究对象。将这92例患者随机分为观察组和对照组,每组各有46例患者。对观察组患者进行腹腔镜Dixon术,对对照组患者进行开腹Dixon术。然后,对比两组患者手术的用时、术中的出血量、淋巴结清扫的数目、疼痛数字评分法(NRS)的评分、胃肠功能恢复的时间、住院的时间及其术后并发症的发生情况。结果 :与对照组患者相比,观察组患者手术的用时、胃肠功能恢复的时间及住院的时间均较短,其术中的出血量较少,其淋巴结清扫的数目较多,其NRS评分较低(P <0.05)。结论 :与进行开腹Dixon术相比,对中低位直肠癌患者进行腹腔镜Dixon术的效果显著,可缩短其手术的时间和住院的时间,减少其术中的出血量,降低其术后的疼痛感,且安全性较高。
Objective: To compare the efficacy of laparoscopic low rectal resection (Dixon) and laparotomy for the treatment of middle and low rectal cancer. Methods: 92 patients with low and middle rectal cancer admitted to quxian people * s hospital from August 2015 to August 2017 were selected as subjects. The 92 patients were randomly divided into observation group and control group, with 46 patients in each group. Laparoscopic Dixon operation was performed in the observation group and laparotomy Dixon operation was performed in the control group. Then, the operation time, intraoperative blood loss, number of lymph node dissection, NRS score, gastrointestinal function recovery time, hospitalization time and postoperative complications were compared between the two groups. Results: compared with patients in the control group, patients in the observation group had shorter operation time, recovery time of gastrointestinal function and hospital stay, less intraoperative blood loss, more lymph node dissection and lower NRS score (P < 0.05). Conclusion: compared with laparotomy Dixon operation, laparoscopic Dixon operation for patients with low and middle rectal cancer has a significant effect, can shorten the operation time and hospitalization time, reduce the amount of bleeding, reduce the postoperative pain, and the safety is higher.
作者
段亮
刘世长
廖兴明
Duan Liang;Liu Shichang;Liao Xingming(quxian people's hospital, Dazhou Sichuan 635200)
