摘要
目的:观察腹腔镜下结肠癌根治术治疗结肠癌患者的效果。方法:选取94例结肠癌患者作为研究对象,按照随机数字表法分为对照组和观察组各47例。对照组采用开腹手术治疗,观察组采用腹腔镜结肠癌根治术治疗,比较两组手术指标水平、治疗前后炎性因子水平、并发症发生率,术后随访1年,比较两组复发率及死亡率。结果:观察组手术时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);术后,观察组白细胞计数、白细胞介素-6、C反应蛋白水平均低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为17.02%(8/47),明显低于对照组的4.26%(2/47),差异有统计学意义(P<0.05);两组术后1年复发率及死亡率比较,差异均无统计学意义(P>0.05)。结论:腹腔镜下结肠癌根治术和开腹手术治疗结肠癌患者的远期效果相当,但前者手术时间相对较短,术中出血量少,炎性因子水平下降幅度大,且并发症少。
Objective:To observe effects of laparoscopic radical resection of colon cancer on patients with colon cancer.Methods:94 patients with colon cancer were selected as the research objects and divided into control group and observation group according to the random number table method,47 cases in each group.The control group was treated with open surgery,while the observation group was treated with laparoscopic radical resection of colon cancer.All the patients were followed up for 1 year.The surgical index levels,the levels of inflammatory factors before and after the treatment,the incidence of complications,the recurrence and the mortality rates were compared between the two groups.Results:The operation time of the observation group was shorter than that of the control group;the intraoperative blood loss was less than that of the control group;and the differences were statistically significant(P<0.05).After the surgery,the white blood cell count,interleukin-6,and C-reactive protein levels of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 17.02%(8/47),which was significantly lower than 4.26%(2/47)in the control group,and the difference was statistically significant(P<0.05).There were no statistically significant differences in the recurrence rate and mortality rate between the two groups 1 year after the surgery(P>0.05).Conclusions:The long-term effects of laparoscopic radical resection of colon cancer and open surgery for colon cancer patients are comparable.However,the former has relatively short operation time,less intraoperative blood loss,lower inflammatory factor levels and few complications.
作者
王勇
WANG Yong(General Surgery Department of Faku County Central Hospital,Shenyang 110499 Liaoning,China)
出处
《中国民康医学》
2020年第22期1-3,共3页
Medical Journal of Chinese People’s Health
关键词
腹腔镜
结肠癌根治术
开腹手术
炎性因子
并发症
Laparoscopy
Radical resection of colon cancer
Open surgery
Inflammatory factor
Complication
