腹腔镜手术与传统开腹手术治疗直肠癌的临床效果比较  

Comparison of the clinical effects of laparoscopic surgery and traditional laparotomy in the treatment of rectal cancer

作　　者：张勇[1] ZHANG Yong(No.2 General Surgery Department,Affiliated Hospital of Jiangsu University,Zhenjiang 212001,China)

机构地区：[1]江苏大学附属医院普外二科

出　　处：《临床医学研究与实践》2019年第32期56-57,共2页Clinical Research and Practice

摘　　要：目的比较腹腔镜手术与传统开腹手术治疗直肠癌的临床效果。方法回顾性分析2017年1月至2018年6月我科收治的68例直肠癌患者的临床资料。根据治疗方式不同,将采用腹腔镜手术治疗的患者设为A组(35例),采用传统开腹手术治疗的患者设为B组(33例)。比较两组患者术中出血量、手术时间、住院时间、远处转移率及并发症发生情况。结果 A组患者术中出血量少于B组,手术时间长于B组,住院时间短于B组,差异具有统计学意义(P<0.05)。A组远处转移率为2.86%,并发症总发生率为2.86%;B组远处转移率为0.00%,并发症总发生率为18.18%。两组患者远处转移率比较,差异无统计学意义(P>0.05);A组的并发症总发生率低于B组,差异具有统计学意义(P<0.05)。结论与传统开腹手术相比,腹腔镜手术治疗直肠癌的临床效果显著,可明显减少患者术中出血量,缩短住院时间,降低术后并发症发生率,值得临床应用。Objective To compare the clinical effect of laparoscopic surgery and traditional laparotomy in the treatment of rectal cancer. Methods The clinical data of 68 patients with rectal cancer from January 2017 to June 2018 admitted in our department were analyzed retrospectively. According to the different treatment methods, the patients treated with laparoscopic surgery were set as group A(35 cases), and who treated with traditional laparotomy were set as group B(33 cases). The intraoperative bleeding volume, operation time, hospitalization time, distant metastasis rates and complications were compared between the two groups. Results The intraoperative bleeding volume in the group A was less than that in the group B, the operation time was longer than that in the group B, and the hospitalization time was shorter than that in the group B, the differences were statistically significant(P <0.05). In the group A, the distant metastasis rate was 2.86%, and the total incidence of complications was 2.86%;in the group B, the distant metastasis rate was 0.00%, and the total incidence of complication was 18.18%. There was no significant difference in the distant metastasis rates between the two groups(P>0.05);the total incidence of complications in the group A was lower than that in the group B, and the difference was statistically significant(P <0.05). Conclusion Compared with traditional laparotomy, laparoscopic surgery in the treatment of rectal cancer has a significant clinical effect, it can significantly reduce the intraoperative bleeding volume, shorten hospitalization time, and reduce the incidence of postoperative complications, which is worthy of clinical application.

关 键 词：腹腔镜手术 传统开腹手术 直肠癌 

分 类 号：R735.37[医药卫生—肿瘤]