腹腔镜手术治疗中低位直肠癌的疗效观察  

Observation on the efficacy of laparoscopy in the treatment of middle and low rectal cancer

作　　者：栾小丹[1] LUAN Xiao-dan(Department of General Surgery,Dandong Central Hospital,Dandong 118000,China)

机构地区：[1]丹东市中心医院普外一科,118000

出　　处：《中国现代药物应用》2021年第24期50-52,共3页Chinese Journal of Modern Drug Application

摘　　要：目的分析中低位直肠癌疾病特点、治疗要点,评价腹腔镜手术治疗的临床疗效。方法94例中低位直肠癌患者,随机分为对照组与观察组,每组47例。对照组采用开腹手术治疗,观察组采用腹腔镜手术治疗。比较两组患者并发症(尿路感染、肠梗阻、吻合口瘘、切口感染)发生情况以及手术相关指标(手术时间、手术出血量、肛门排气时间、下床活动时间、住院时间、淋巴结清扫数)。结果观察组并发症发生率6.38%低于对照组的21.28%,差异具有统计学意义(P<0.05)。观察组手术时间(165.50±20.50)min长于对照组的(138.30±15.50)min,手术出血量(145.50±20.50)ml少于对照组的(225.50±25.50)ml,肛门排气时间(35.50±5.60)h、下床活动时间(17.50±4.50)h、住院时间(9.50±1.50)d均短于对照组的(69.80±10.50)h、(31.80±5.50)h、(13.50±2.50)d,差异均具有统计学意义(P<0.05)。观察组淋巴结清扫数(11.20±0.80)个与对照组的(11.23±0.90)个比较,差异无统计学意义(P>0.05)。结论与开腹手术治疗比较,中低位直肠癌患者接受腹腔镜手术治疗在保障有效清除淋巴结的基础上能够减轻患者手术损伤,缩短治疗和康复时间,降低术后并发症发生率,是优选术式。Objective To analyze the characteristics and treatment points of middle and low rectal cancer,and evaluate the clinical efficacy of laparoscopic treatment.Methods A total of 94 patients with middle and low rectal cancer were randomly divided into control group and observation group,with 47 cases in each group.The control group was treated with open surgery,and the observation group was treated with laparoscopic surgery.Both groups were compared in terms of complications(urinary tract infection,intestinal obstruction,anastomotic fistula,incision infection),surgery-related indicators(operation time,surgical blood loss,anal exhaust time,off-bed activity time,hospitalization time,number of lymph node dissection).Results The complication rates 6.38%in the observation group was lower than 21.28%in the control group,and the difference was statistically significant(P<0.05).The operation time(165.50±20.50)min of the observation group was longer than(138.30±15.50)min of the control group;the surgical blood loss(145.50±20.50)ml of the observation group was less than(225.50±25.50)ml of the control group;the anal exhaust time(35.50±5.60)h,off-bed activity time(17.50±4.50)h,and hospitalization time(9.50±1.50)d of the observation group were shorter than(69.80±10.50)h,(31.80±5.50)h,and(13.50±2.50)d of the control group.All the differences were statistically significant(P<0.05).The number of lymph nodes dissection(11.20±0.80)nodes in the observation group was not statistically significant compared with(11.23±0.90)nodes in the control group(P>0.05).Conclusion Compared with open surgery,laparoscopic surgery for patients with middle and low rectal cancer can reduce the surgical damage,shorten the treatment and recovery time,and lower the postoperative complication rates while ensuring effective dissection of lymph nodes.It is the preferred surgical procedure.

关 键 词：中低位直肠癌 腹腔镜手术治疗 开腹治疗 临床疗效 

分 类 号：R735.37[医药卫生—肿瘤]