腹腔镜Dixon手术治疗低位直肠癌的临床观察  

Clinical Observation of Laparoscopic Dixon Operation in the Treatment of Low Rectal Cancer

作　　者：杨威 YANG Wei(General Surgery Department and Pediatric Ward,Fukuang General Hospital of Liaoning Health Industry Group,Liaoning Fushun 113008)

机构地区：[1]辽宁省健康产业集团抚矿总医院普外三儿外病房,辽宁抚顺113008

出　　处：《中国医疗器械信息》2021年第22期29-31,共3页China Medical Device Information

摘　　要：目的:分析低位直肠癌疾病特点,探讨腹腔镜Dixon手术治疗低位直肠癌的临床价值。方法:选择2016年6月~2018年6月108例低位直肠癌患者,按手术方法分为两组,即对照组与研究组。其中,研究组(n=57)行腹腔镜Dixon手术治疗,对照组(n=51)行开腹手术。比较两组低位直肠癌患者的手术情况,包括手术指标、疼痛状况、术后并发症和术后肛门功能情况,肛门功能以Wexner评分进行评估,疼痛程度以视觉模拟评分法(VAS)评估。结果:与对照组比较,研究组的手术时间明显延长(P<0.05),术中出血量明显减少(P<0.05),术后胃肠功能恢复时间明显缩短(P<0.05),切口长度明显缩短(P<0.05),VAS评分明显较低(P<0.05)。组间淋巴结清扫数及术后住院时间比较无明显差异(P>0.05)。研究组术后1个月、3个月、6个月、12个月的Wexner评分均明显低于对照组(P<0.05)。切口感染、吻合口瘘、肠梗阻术后并发症方面,与对照组比较,研究组的并发症发生率低(P<0.05)。结论:腹腔镜Dixon手术治疗低位直肠癌可有效保护肛门功能,手术损伤小、术后恢复快、术后并发症少、术后疼痛感低,是治疗低位直肠癌的理想方法。Objective:To analyze the characteristics of low rectal cancer and to explore the clinical value of laparoscopic Dixon surgery in the treatment of low rectal cancer.Methods:From June 2016 to June 2018,108 patients with low rectal cancer were selected and divided into two groups according to the surgical method,namely the control group and the study group.Among them,the study group(n=57)underwent laparoscopic Dixon surgery,and the control group(n=51)underwent open surgery.The surgical conditions of the two groups of patients with low rectal cancer were compared,including surgical indicators,pain status,postoperative complications,and postoperative anal function.Anal function was evaluated by Wexner score,and pain degree was evaluated by visual analog scale(VAS).Results:Compared with the control group,the operation time of the study group was significantly prolonged(P<0.05),the intraoperative blood loss was significantly reduced(P<0.05),the recovery time of gastrointestinal function after surgery was significantly shortened(P<0.05),and the incision length was obvious shortened(P<0.05),the VAS score was significantly lower(P<0.05).There was no significant difference in the number of lymph node dissections and postoperative hospital stay between the groups(P>0.05).The Wexner scores of the study group at 1 month,3 months,6 months,and 12 months after operation were significantly lower than those of the control group(P<0.05).In terms of postoperative complications of incisional infection,anastomotic leakage,and intestinal obstruction,compared with the control group,the incidence of complications in the study group was low(P<0.05).Conclusion:Laparoscopic Dixon surgery for the treatment of low rectal cancer can effectively protect anal function,with less surgical damage,quick postoperative recovery,fewer postoperative complications,and low postoperative pain.It is an ideal method for the treatment of low rectal cancer.

关 键 词：腹腔镜 DIXON手术 低位直肠癌 手术指标 术后并发症 肛门功能 疼痛状况 

分 类 号：R735.37[医药卫生—肿瘤]