摘要
目的 探讨减孔腹腔镜手术治疗结直肠癌的临床疗效。方法回顾性分析2015年1月至2017年12月120例接受腹腔镜手术治疗的结直肠癌患者资料,分为减孔组和传统组,各60例。采用SPSS23.0统计学软件,两组间疗效评定、并发症发生率采用卡方检验;术中术后指标、血清胃泌素、胃动素水平及SF-36评分以(x±s)表示,采用独立t检验,P<0.05差异有统计学意义。结果减孔组有效率、血清胃泌素、胃动素水平及SF-36生活质量评分均高于传统组(P<0.05),而并发症发生率,术后肠鸣音恢复时间,排气、排便和进食时间均少于传统组(P<0.05)。结论减孔腹腔镜手术治疗结直肠癌可有效缩短胃肠功能恢复时长,改善患者生存质量。
Objective To investigate the effect of reduced port laparoscopic surgery on the recovery of gastrointestinal function and the quality of life in patients with colorectal cancer. Methods 120 cases of colorectal cancer were collected from January 2015 to December 2017 in our hospital. They were randomly divided into reduced port laparoscope treatment group (reduced port group) and the traditional laparoscopy group (traditional group), each 60 cases. The curative effect, the recovery time of gastrointestinal function and the quality of life between the two groups were observed. In this study, SPSS23.0 statistical software was used. The efficacy and complication rates of the two groups were compared by chi square. Intraoperative and postoperative data, serum gastrin, motilin levels and SF-36 scores of two groups were compared by independent t test, P <0.05 difference was statistically significant. Results The effective rate of the reduced port group was higher than the traditional group, the incidence of complications was lower than the traditional group. Bowel sounds recovery time, exhaust time, defecation time and feeding time were all lower than those of the traditional group. The serum levels of gastrin and motilin were higher than those of the traditional group, and the life quality of SF-36 was higher than that of the traditional group, P <0.05. Conclusion Reduced port laparoscopic surgery for patients with colorectal cancer can effectively shorten the recovery time of gastrointestinal function and improve the life quality.
作者
刘海洋
朱安龙
Liu Haiyang;Zhu Anlong(Department of colorectal surgery , the first affiliated hospital of Harbin medical university, Harbin 150000)
出处
《中华普外科手术学杂志（电子版）》
2019年第3期256-258,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
黑龙江省卫生厅科研课题(编号:2010-286)~~
关键词
结直肠肿瘤
腹腔镜检查
胃肠活动
生活质量
Colorectal neoplasms
Laparoscopy
Gastrointestinal motility
Quality of life
