腔镜手术在老年直肠癌中的应用及安全性分析  

Analysis of application and safety by endoscopic surgery in senile rectal cancer

作　　者：乔纯忠[1] 

机构地区：[1]江苏省泰州市人民医院普外科,225300

出　　处：《中国实用医药》2016年第31期30-31,共2页China Practical Medicine

摘　　要：目的探讨腔镜手术在老年直肠癌治疗中的临床应用效果,并对其安全性进行分析。方法 84例老年直肠癌患者,随机分成实验组与对照组,各42例。实验组给予腔镜手术治疗,对照组给予开腹手术治疗,比较两组患者的疗效、手术指标及并发症。结果实验组治疗有效率95.2%,对照组治疗有效率90.5%,比较差异无统计学意义(P>0.05)。实验组患者手术时间、出血量、排气时间、住院时间及淋巴结清扫数目均优于对照组(P<0.05)。实验组并发症发生率低于对照组(P<0.05)。结论腔镜手术疗效确切,安全性值得肯定,推广应用价值高。Objective To investigate clinical application effect by endoscopic surgery in treating senile rectal cancer, and to analyze its safety. Methods A total of 84 senile rectal cancer patients were randomly divided into experimental group and qontrol group, with 42 cases in each group. The experimental group received endoscopic surgery, and the control group received laparotomy surgery. Comparison＇was made on curative effects, surgical indexes and complications between the two groups. Results The experimental group had effective rate as 95.2%, which was 90.5% in the control group, and the difference hadno statistical significance （P〉0.05）. The experimental group had all better operation time, bleeding volume, exhaust time, hospital stay time and lymph node dissection number than the control group （P〈0.05）. The experimental group had lower incidence of complications than the control group （P〈0.05）. Conclusion Endoscopic surgery provides affirmative effect and safety, along with high value of promotion and application.

关 键 词：腔镜手术 直肠癌 老年患者 

分 类 号：R735.37[医药卫生—肿瘤]