摘要
目的分析腹腔镜结肠癌根治术在结肠癌患者治疗中的实践价值。方法非随机选取国药北方医院于2022年1月—2023年1月收治的65例结肠癌患者为研究对象,按治疗方式不同分为对照组(32例,行传统开腹手术)、观察组(33例,借助腹腔镜完成手术治疗),对比两组的手术相关指标、免疫功能情况、并发症发生率及炎症指标。结果与对照组相比,观察组的手术用时、胃肠功能恢复时间更短,术中出血量更少、淋巴结清扫数更多,差异有统计学意义(P均<0.05)。观察组的免疫功能优于对照组,炎症指标水平低于对照组,差异有统计学意义(P均<0.05)。观察组的并发症发生率为3.03%(1/33),低于对照组的12.50%(4/32),但差异无统计学意义(χ^(2)=0.935,P>0.05)。结论腹腔镜手术作为结肠癌根治术的优选模式,不仅能缩短手术时间,还能减少术中出血量、预防术后并发症。
Objective To analyze the practical value of laparoscopic radical resection of colon cancer in patients with colon cancer.Methods Sixty-five patients with colon cancer admitted to Sinopod North Hospital from January 2022 to January 2023 were non-randomly selected as the study objects,and were divided into control group(n=32,undergoing traditional open surgery)and observation group(n=33,undergoing laparoscopic surgery)according to different treatment methods.The indexes of operation,immune function,complication rate and inflammation were compared between the two groups.Results Compared with the control group,the operation time and gastrointestinal function recovery time of the observation group were shorter,the intraoperative blood loss was less,and the number of lymph node dissection was more,the differences were statistically significant(all P<0.05).The immune function of the observation group was better than that of the control group,and the level of inflammation index was lower than that of the control group,with statistical significance(all P<0.05).The incidence of complications in the observation group was 3.03%(1/33),lower than 12.50%(4/32)in the control group,but the difference was not statistically significant(χ^(2)=0.935,P>0.05).Conclusion As the preferred mode of radical resection of colon cancer,laparoscopic surgery can not only shorten operation time,but also reduce intraoperative blood loss and prevent postoperative complications.
作者
孙宏文
SUN Hongwen(Department of General Surgery,Section One,Sinopharm Northern Hospital,Baotou 014030,Inner Mongolia Autono-mous Region,China)
出处
《系统医学》
2024年第22期131-133,137,共4页
Systems Medicine
关键词
腹腔镜结肠癌根治术
手术指标
并发症
免疫功能
Laparoscopic radical resection of colon cancer
Surgical index
Complications
Immune function
