摘要
目的:分析结直肠癌疾病特点、患者治疗需求,评价腹腔镜治疗对患者临床疗效、肠梗阻等方面的影响。方法:选择2018年10月~2020年8月本院诊治的80例结直肠癌疾病患者,根据手术治疗方案进行对照组、观察组分组,各40例。对照组与观察组结直肠癌患者分别采取开腹手术治疗、腹腔镜治疗。比较2组结直肠癌患者的手术情况,包括手术以及术后恢复指标、手术效果、术后肠梗阻发生情况。其中,疼痛情况以视觉模拟评分法(Visual Analogue Scale/Score,VAS)评估。结果:就组间术后临床疗效比较,采取腹腔镜治疗的观察组总有效率97.50%明显高于对照组的85.00%,差异显著P<0.05;就组间手术情况比较,采取腹腔镜治疗的观察组患者的平均手术时间(130.0±25.5)min明显短于对照组、术中出血量(57.5±5.0)mL明显少于对照组,差异显著P<0.05;就组间术后恢复情况比较,采取腹腔镜治疗的观察组患者肛门排气时间(40.0±1.5)h、住院时间(10.5±1.5)d均明显短于对照组,疼痛状况VAS评分(2.6±1.0)分明显低于对照组,差异显著P<0.05;组间肠梗阻发生率比较,采取腹腔镜治疗的观察组发生率5.00%明显低于对照组的25.00%,差异显著P<0.05。结论:结直肠癌具有多发趋势,优选手术治疗,但是术后肠梗阻风险高。与开腹手术治疗比较,腹腔镜下结直肠癌手术治疗术中出血量少、手术与术后恢复时间短、术后肠梗阻发生风险低,整体手术效果理想。
Objective:To analyze the characteristics of colorectal cancer disease and the treatment needs of patients,and to evaluate the impact of laparoscopic treatment on the clinical efficacy and intestinal obstruction of patients.Methods:Select 80 patients with colorectal cancer who were diagnosed and treated in our hospital from October 2018 to August 2020.According to the surgical treatment plan,the control group and the observation group were selected,40 cases in each group.Colorectal cancer patients in the control group and observation group were treated with open surgery and laparoscopic treatment respectively.The operation conditions of the two groups of colorectal cancer patients were compared,including the operation and postoperative recovery indicators,the effect of the operation,and the occurrence of postoperative intestinal obstruction.Among them,the pain situation was evaluated by Visual Analogue Scale/Score(VAS).Results:In terms of postoperative clinical efficacy comparison between groups,the total effective rate of 97.50%in the observation group who took laparoscopic treatment was significantly higher than that of the control group 85.00%,with a significant difference P<0.05;in terms of the comparison of the surgical conditions between the groups,the total effective rate of laparoscopic treatment was The average operation time(130.0±25.5)min of the observation group was significantly shorter than that of the control group,and the intraoperative blood loss(57.5±5.0)mL was significantly less than that of the control group.The difference was significant P<0.05;as for the comparison of postoperative recovery between groups,The anal exhaust time(40.0±1.5)h and hospitalization time(10.5±1.5)d of the observation group who underwent laparoscopic treatment were significantly shorter than those of the control group,and the pain VAS score(2.6±1.0)was significantly lower than that of the control group,the difference was significant(P<0.05);Comparing the incidence of intestinal obstruction between the groups,the i
作者
王鹤峰
WANG He-feng(Department of General Surgery,Dandong Central Hospital,Liaoning Dandong 118000)
出处
《中国医疗器械信息》
2021年第23期110-111,122,共3页
China Medical Device Information
关键词
结直肠癌
腹腔镜治疗
术后肠梗阻
手术情况
术后情况
手术效果
术后并发症
肠梗阻
colorectal cancer
laparoscopic treatment
postoperative intestinal obstruction
surgical conditions
postoperative conditions
surgical results
postoperative complications
intestinal obstruction
