腹腔镜手术与开腹手术治疗结肠癌的临床疗效对比分析  

Analysis of the Outcomes of Laparoscopic and Open Surgery for Colon Cancer

作　　者：魏晰麟[1] 张健[1] 边刚[1] 李金晖[1] 

机构地区：[1]沈阳医学院附属中心医院普外三科,辽宁沈阳110024

出　　处：《中国伤残医学》2016年第5期7-8,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的探索腹腔镜手术与开腹手术治疗结肠癌的临床疗效比较。方法：纳入结肠癌患者98例，随机均分成2组，腹腔镜组（n=49）应用腹腔镜子行切除术治疗结肠癌；开腹组（n=49），应用传统的开腹切除术治疗结肠癌。2组结肠癌患者一般临床状况比较无差异，比较2组临床疗效、手术时间、淋巴结清除数、切口大小、术中出血量、排气时间、住院时间及术后并发症率进行分析。结果：2组患者的平均手术时间，清除清除淋巴数基本相同，无显著差异（P〉0．05），但在术中出血量、切口长度、住院时间及术后肛门排气时间方面比较，观察组明显少于对照组，差异具有统计学意义（P〈0．05）。腹腔镜组的并发症发生率为8．2％，明显低于开腹组的发生率18．4％，差异显著（P〈0．05）。结论：对于结肠癌的患者进行治疗采用腹腔镜下行剔除术具有术后恢复快，出血量小，创伤小，患者的疼痛小，并发症少等明显的疗效。Objective To explore the clinical efficacy of laparoscopic and open surgery for colon cancer. Methods： A total of 98 casesof colon cancer patients were randomly divided into two groups, the laparoscopic group （ n = 49） laparoscopic colon resection child rows;open group （ n = 49 ）, application of traditional open resection colon cancer. There were no differences between groups in colon cancer pa-tients in general clinical condition, compare clinical efficacy, operation time, the number of lymph node dissection, incision size, bloodloss, exhaust time, hospital stay and postoperative complication rates were analyzed. Results： The mean operative time was two groups ofpatients, the same number clear lymph no significant difference （P 〉 0.05 ）, but more in blood loss, incision length, length of hospitalstay and postoperative flatus time, the observation group was significantly less than the control group, the difference was statistically signif-icant （ P 〈 0.05）. The laparoscopic group （8.2%） was significantly lower than the incidence of laparotomy group （ 18.4% ）. Conclu-sion： For patients with colon cancer were treated using laparoscopic myomectomy have faster recovery, a small amount of bleeding, trau-ma, small patientg pain, fewer complications, a significant effect.

关 键 词：结肠癌 腹腔镜 开腹手术 并发症 

分 类 号：R735.3[医药卫生—肿瘤]