腹腔镜下梗阻性大肠癌手术治疗的临床效果分析  

Clinical Analysis of Laparoscopic Surgery for Obstructive Colorectal Cancer

作　　者：刘良伟[1] 

机构地区：[1]山东省青岛市第三人民医院普外科,山东青岛266041

出　　处：《中国继续医学教育》2017年第15期116-117,共2页China Continuing Medical Education

摘　　要：目的本文就腹腔镜下梗阻性大肠癌的手术方法及疗效进行研究。方法选取我院2015年1月—2016年12月收治的82例梗阻性大肠癌患者作为研究对象。按照患者意愿分为实验组与参照组,每组各41例。实验组患者施以腹腔镜手术治疗,参照组患者施以开腹手术治疗,对比不同手术疗法下两组患者的围术期指标及并发症。结果实验组患者的术中出血量少于参照组,肛门排气时间、平均住院时间均短于对照组,实验组患者的并发症发生率低于参照组,组间比较,差异具有统计学意义(P<0.05)。结论在梗阻性大肠癌患者的临床治疗中,腹腔镜手术具有创伤小、恢复快等优势。Objective To study the surgical treatment of obstructive colorectal cancer under laparoscope. Methods 82 cases of obstructive colorectal cancer patients in our hospital from January 2015 to December 2016 were selected as the subjects. The patients were divided into experimental group and control group according to patients＇ wishes, 41 cases in each group. The patients in the experimental group were treated with laparoscopic surgery, the patients in the control group were treated with open surgery, the perioperative parameters and complications of two groups of patients under different surgical treatments were compared. Results The amount of bleeding in the experimental group was less than that in the reference group, and the anal exhaust time and average length of stay were shorter than those in the control group, the complication rate of the experimental group was lower than that of the control group, and the difference between the two groups was statistically significant （P〈0.05）. Conclusion Laparoscopic surgery has the advantages of less trauma and quick recovery in the treatment of obstructive colorectal cancer.

关 键 词：梗阻性大肠癌 腹腔镜手术 开腹手术 并发症 

分 类 号：R735[医药卫生—肿瘤]