对腹腔镜手术和开腹手术在直肠癌恶性肿瘤方面的治疗效果进行对比分析  

Comparative Analysis of Laparoscopic Surgery and Open Surgery in the Treatment of Rectal Cancer Malignancies

作　　者：顾建龙[1] GU Jian-long(General Surgery,Sheyang County Traditional Chinese Medicine Hospital,Sheyang,Jiangsu Province,224300 China)

机构地区：[1]江苏省射阳县中医院普外科,江苏射阳224300

出　　处：《中外医疗》2020年第14期35-37,共3页China & Foreign Medical Treatment

摘　　要：目的对比分析腹腔镜手术与开腹手术在直肠癌恶性肿瘤治疗中的应用效果。方法该次研究方便选取的76例直肠癌恶性肿瘤患者均为该院2017年10月—2019年10月收治的,根据入院单号、双号分为两组,每组38例,对照组与研究组分别开展开腹手术与腹腔镜手术,准确记录临床指标,并统计并发症发生率,评估疼痛评分(VAS)。结果在清扫淋巴结数、住院时间、术中出血量、手术时间方面,研究组同对照组相比更优,差异有统计学意义(P<0.05);在转移淋巴结数、术后3 d引流量方面,两组对比差异无统计学意义(P>0.05);在并发症发生率方面,研究组(5.26%)相比于对照组(23.68%)更低,差异有统计学意义(χ^2=5.208,P=0.022);研究组疼痛评分相比于对照组更低,差异有统计学意义(P<0.05)。结论直肠癌恶性肿瘤疾病治疗过程中,腹腔镜手术治疗效果相比于开腹手术更优,其不仅可以减轻疼痛、缩减住院、手术时间,同时有助于并发症发生率降低,减少术中出血量等,值得推广、采纳。Objective To compare and analyze the effect of laparoscopic surgery and open surgery in the treatment of rectal cancer malignant tumors.Methods 76 patients with rectal cancer malignancies received in this study were received in the hospital from October 2017 to October 2019.They were convenient scelection divided into two groups according to the admission number and double number,38 cases in each group,and the control group and the study group respectively.Laparoscopic surgery and laparoscopic surgery were performed,clinical indicators were accurately recorded,the incidence of complications was counted,and the pain score(VAS)was evaluated.Results In terms of the number of dissected lymph nodes,length of hospital stays,intraoperative blood loss,and operation time,the research group was better than the control group,and the difference was statistically significant(P<0.05).In terms of flow,there was no significant difference between the two groups(P>0.05);in terms of the incidence of complications,the study group(5.26%)was lower than the control group(23.68%),and the difference was statistically significant(χ^2=5.208,P=0.022);The pain score of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion During the treatment of rectal cancer malignant tumors,laparoscopic surgery is more effective than laparotomy,which can not only reduce pain,reduce hospitalization and operation time,but also help reduce the incidence of complications and reduce intraoperative amount of bleeding is worth promoting and adopting.

关 键 词：恶性肿瘤 直肠癌 开腹手术 腹腔镜手术 

分 类 号：R5[医药卫生—内科学]