比较腹腔镜与开腹手术治疗结直肠癌术后肠梗阻的效果  

Comparison of the Effects of Laparoscopic and Open Surgery in the Treatment of Intestinal Obstruction after Colorectal Cancer

作　　者：詹惠华 陈伟[1] 伊杰[1] 江晓林 ZHAN Hui-hua;CHEN Wei;YI Jie;JIANG Xiao-lin(Department of Basic Surgery,the Second Hospital of Nanping City,Nanping,Fujian Province,354200 China)

机构地区：[1]福建省南平市第二医院基础外科,福建南平354200

出　　处：《中外医疗》2020年第34期56-58,共3页China & Foreign Medical Treatment

摘　　要：目的探讨结直肠癌患者接受腹腔镜与开腹手术治疗后的恢复情况,结合术后肠梗阻的发生情况进行评价。方法方便选取该院2018年4月—2019年4月期间收治的62例结直肠癌患者作为研究对象,以随机单盲法为分组原则,分为观察组(腹腔镜手术)和对照组(开腹手术)各31例,观察两组患者的手术治疗情况及术后恢复情况。结果与对照组相比,观察组患者的预后优良率(90.32%)相对更高,肠梗阻发生率(0.00%)及其他并发症发生率发生率(6.45%)相对更低,差异有统计学意义(χ^2=4.769、4.613、4.292,P<0.05),而术中出血量(24.69±5.96)mL、肠道功能恢复时间(26.15±3.03)h及术后住院时间(8.79±1.06)d均优于对照组,差异有统计学意义(P<0.05)。结论结直肠癌患者的手术治疗期间,腹腔镜手术方法的应用,在安全、有效治疗疾病的同时,还可以降低术后肠梗阻及相关并发症的发生风险,进而减少术后恢复期间的干扰因素,进而改善患者的预后。Objective To investigate the recovery of patients with colorectal cancer after laparoscopic and open surgery,and evaluate the incidence of postoperative intestinal obstruction.Methods The 62 patients with colorectal cancer admitted to the hospital from April 2018 to April 2019 were conveniently selected as the research objects.Based on the randomized single-blind method,they were divided into observation group(laparoscopic surgery)and control group(open abdominal surgery)31 cases in each group,observe the surgical treatment and postoperative recovery of the two groups of patients.Results Compared with the control group,the observation group has a relatively higher prognosis rate(90.32%),and the incidence of intestinal obstruction(0.00%)and other complications(6.45%)are relatively lower,and the difference is statistically significant(χ2=4.769,4.613,4.292,P<0.05),and intraoperative blood loss(24.69±5.96)mL,intestinal function recovery time(26.15±3.03)h and postoperative hospital stay(8.79±1.06)d are better than In the control group,the difference was statistically significant(P<0.05).Conclusion During the surgical treatment of patients with colorectal cancer,the application of laparoscopic surgery can safely and effectively treat the disease,while also reducing the risk of postoperative intestinal obstruction and related complications,thereby reducing the interference factors during postoperative recovery,to improve the patient’s prognosis.

关 键 词：腹腔镜手术 开腹手术 结直肠癌 术后肠梗阻 

分 类 号：R5[医药卫生—内科学]