腹腔镜手术治疗老年结直肠癌疗效及安全性评价  

Evaluation of Curative Effect and Security of Laparoscopic Operation in Treatment of Colorectal Carcinoma in Elderly Patients

作　　者：慕常松[1] 岳华[1] 

机构地区：[1]山东荣成市人民医院胃肠外科,山东荣成264300

出　　处：《中外医疗》2016年第7期60-61,共2页China & Foreign Medical Treatment

摘　　要：目的 探讨和分析腹腔镜手术和开腹手术治疗老年结直肠癌的安全性进行评价,同时分析临床有效性。方法整群选取该院2012年4月—2014年6月收治确诊的66例老年结直肠癌住院患者为研究对象,按照手术方式的不同进行分组,选择腹腔镜手术为观察组,有33例;选择开腹手术为对照组,有33例。治疗后,将两组患者治疗的有效率及手术中的出血量多少、住院时间长短、以及并发症的发生率等情况进行比较。结果观察组的手术时间为(90.7±34.3)min,术后住院时间为(8.9±5.6)d,术中的出血量为(100±98.4)m L,并发症发生率为6.06%;对照组的手术时间为(118.6±30.7)min,术后住院时间为(13.1±4.8)d,术中的出血量为(118.6±30.7)m L,并发症发生率为24.24%。两组均差异有统计学意义(P<0.05)。结论腹腔镜手术治疗老年结直肠癌,手术时间短,经济效益高,安全可靠。Objective To discuss and analyze and evaluate the security of laparoscopic operation and laparotomy in treatment of colorectal carcinoma in elderly patients and analyze the clinical effectiveness at the same time. Methods 66 cases of elderly inpatients with colorectal carcinoma confirmed in our hospital from April 2012 to June 2014 were selected as the research object and divided into two groups with 33 cases in each according to the operation methods, the observation group were given laparoscopic operation, the control group were given laparotomy, the treatment effective rate, intraoperative blood loss, length of stay and incidence of complications of the two groups were compared. Results The operation time, postoperative length of stay, intraoperative blood loss and incidence of complications were respectively（90.7±34.3）min,（8.9±5.6）d,（100±98.4）m L and 6.06% in the observation group and（118.6±30.7）min,（13.1±4.8）d,（118.6±30.7）m L and 24.24% in the control group, the differences between the two groups were obvious（P〈0.05）. Conclusion Laparoscopic operation in treatment of colorectal carcinoma in elderly patients has a short operation time and a high economic benefit, and it is safe and reliable.

关 键 词：腹腔镜手术 开腹手术 老年结直肠癌 安全性 临床疗效 

分 类 号：R5[医药卫生—内科学]