不同术式治疗低位直肠癌的近期疗效分析  

Effect of different operation method on low nectal cancer

作　　者：徐宏霞[1] 刘佃温[1] 

机构地区：[1]河南中医学院第一附属医院肛肠科,郑州450008

出　　处：《医药论坛杂志》2014年第4期53-54,共2页Journal of Medical Forum

摘　　要：目的讨论腹腔镜与开腹手术治疗低位直肠癌的近期临床疗效。方法对72例低位直肠癌患者分别进行腹腔镜与开腹手术,比较两组患者切口长度、术中出血量、手术时间、淋巴结清扫数、保肛率、肠功能恢复时间、住院时间、术后并发症等指标,评价两组患者的临床疗效。结果腹腔镜组患者的切口长度、术中出血量、保肛率、肠功能恢复时间、住院时间等指标均明显好于开腹手术组(P<0.05),腹腔镜手术组患者并发症发生率显著低于开腹手术组(P<0.05),但手术时间、淋巴结清扫数无显著差异(P>0.05)。结论腹腔镜治疗低位直肠癌具有手术创伤小、术中出血少、术后恢复快、术后并发症少等优点,且保肛率有所提高,值得临床推广。Objective To discuss the short - term clinical curative effect of laparoscopic and open surgery for low rectal cancer. Methods Respectively 72 cases of low rectal cancer patients undergoing laparoscopic and open operation, com- pared two groups of patients with the length of operative incision, intraoperative blood loss, operative time, number of the resected lymph nodes,the anal rate, length of hospital stay and and bowel function recovery time index, pest - operative complications,evaluation of the short - term clinical curative effect of patients with two groups. Results Laparoscopic group of patients with the length of operative incision, intraoperative blood loss, operative time, length of hospital stay and bowel function recovery time indicators were significantly better than those the open surgery group （P 〈 0. 05 ）, and the in- cidence of complications in laparoscopicoperation group was significantly lower than that in open operation group （P 〈 0. 05 ）, but no difference between the operation time and the number of lymph node clearance （ P 〉 0. 05 ）. Condusion Laparoscopic for lowrectal cancer has the advantages of little surgical trauma,less intraoperative bleeding, rapid postoperative recovery and few post -operative complications,and the anal rate has increased,it is worthy of extensive promotion in clinical.

关 键 词：腹腔镜手术 开腹手术 低位直肠癌 

分 类 号：R735.3[医药卫生—肿瘤]