小切口开腹手术治疗老年直肠癌患者近期效果  

Short-term quality of mini-laparotomy for the elderly patients with rectal cancer

作　　者：甘志明[1] 阳川华[1,2] 陈桥羽 汪晓东[1] 李立[1] 

机构地区：[1]四川大学华西医院胃肠外科中心,成都610041 [2]四川大学华西临床医学院MCQ团队

出　　处：《山西医科大学学报》2014年第6期503-507,共5页Journal of Shanxi Medical University

摘　　要：目的探讨将小切口手术技术运用在老年直肠癌患者的效果，以分析是否可以提高手术的安全性。方法本研究前瞻性纳入2013—01。2013—11收治的158例老年直肠癌患者。采用随机对照研究的方式分析，比较运用小切口手术和传统切口手术患者的临床治疗效果。结果从术后恢复指标看，两组在排气时间、排便时间、进食时间和下床活动时间上差异均有统计学意义（P：0．021，0．027，0．035，0．046）。两组在住院时间上差异无统计学意义（P=0．625）。从术后并发症发生率看，两组术后肠梗阻发生率差异有统计学意义（P=0．025），两组在其他并发症发生率包括尿路感染、吻合口瘘、尿潴留、肛周感染等差异均无统计学意义（P〉0．05）．结论小切口开腹手术治疗老年直肠癌患者与标准切口相比，术后肠道功能恢复更快，且能减少术后肠梗阻的发生率。因此，相较标准切口，小切口手术更适于老年直肠癌患者。Objective To explore the effect and possibility of mini-laparotomy for rectal cancer in the elderly patients. Methods From January 2013 to November 2013,158 elderly patients with rectal cancer receiving operation in Gastrointestinal Surgery Center of West China Hospital were eligible to the study. The patients were randomized into mini-laparotomy group and control group. The clinical efficacy was compared between two groups. Results The difference of duration of first flatus, duration of first defecation, duration of first oral intake, duration of first ambulation between two groups was statistically significant（ P 〈 0.05）. The incidence of intestinal ob- struction in mini-laparotomy group was lower than in control group （P 〈 0.05 ）, and the incidences of other postoperative complications between two groups were no statistically different between two groups （P 〉 0. 05）. Conclusion Compared with conventional laparotomy,the mini-laparotomy is more suitable to elderly rectal cancer patients, with the shorter time of postoperative intestinal recovery and lower incidence of intestinal obstruction.

关 键 词：直肠癌 小切口 老年人 

分 类 号：R735.37[医药卫生—肿瘤]