腹腔镜手术中结直肠癌患者体位选择对临床疗效的影响分析  

Analysis of the effect of postural selection on clinical efficacy in laparoscopic surgery

作　　者：李旸[1] 王自强[1] 杨昆[1] Li Yang;Wang Ziqiang;Yang kun(Department of gastrointestinal surgery west china hospital,Sichuan university Sichuan 611730 China)

机构地区：[1]四川大学华西医院胃肠外科,611730

出　　处：《中华普外科手术学杂志（电子版）》2018年第2期140-143,共4页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：国家自然科学基金(81301867)~~

摘　　要：目的探究不同体位下行腹腔镜结直肠癌手术的临床效果,及其对患者的手术舒适度的影响。方法将2015年6月至2017年6月期间确诊并进行手术的结直肠癌患者86例纳入研究,根据手术时体位的不同分为A组(46例)和B组(40例),其中A组患者在改良截石位下进行腹腔镜手术,B组患者在人形平卧位下完成腹腔镜手术。数据由SPSS20.0软件完成分析。手术时间以均值±标准差形式表示,组间比较采用独立t检验;并发症发生率以率的形式表示,组间比较采用χ2检验;P<0.05差异有统计学意义。结果 A组的平均手术时间为(2.2±0.9)h明显少于B组的平均手术时间(3.8±0.7)h,组间比较差异有统计学意义,t=6.143,P<0.05。本研究患者术后并发症主要包括下肢疼痛、麻木、肿胀,腹痛等,A组并发症发生率为4.3%;B组并发症发生率为35.0%,差异有统计学意义,P<0.05。结论对结直肠癌患者进行腹腔镜手术时选择改良截石位体位,能缩短手术时间和减少手术并发症的发生,值得临床推广应用。Objective To explore the clinical effect of laparoscopic colorectal cancer surgery in different posture and its effect on the operation comfort of patients. Methods 86 patients with colorectal cancer who were diagnosed and operated in our hospital from June 2015 to June 2017 were included in the study,according to the different posture in the operation were divided into Group A(46 cases)and Group B(40 cases),in which Group A were treated with laparoscopic surgery under the modified cutting stones and Group B subjects performed laparoscopic surgery under the human supine position.The clinical effects of the two groups were evaluated with the operation time and postoperative complication as the main indexes.Data is analyzed by SPSS 20.0 software.The operation time was expressed in the form of(mean±standard deviation),independent t test was used among the groups,and the incidence rate of complication was expressed in the form ofχ2 test.The difference of P<0.05 was statistically significant. Results The average operation time of Group A(2.2±0.9)h,was significantly less than the average operation time(3.8±0.7)h of B Group,and the difference was statistically significant,t=6.143,P<0.05.The postoperative complications of this study included lower limb pain,numbness,swelling,abdominal pain and the incidence of complication in Group A was 4.3%.,the incidence of complication in Group B was 35.0%,the difference was statistically significant,P<0.05. Conclusion By choosing the improved cutting stone position in the laparoscopic surgery in patients with colorectal cancer can shorten the operation time and reduce the complication of operation,which is worthy of clinical application.

关 键 词：结直肠肿瘤 腹腔镜检查 体位 治疗结果 

分 类 号：R735.34[医药卫生—肿瘤]