腹腔镜手术与经腹开放手术治疗大肠癌的疗效对比  

Comparison of Efficacy between Laparoscopic Surgery and Transabdominal Open Surgery for Colorectal Cancer

作　　者：姚健洪 陆俊[1] 徐潇 史俊[1] YAO Jian-hong;LU Jun;XU Xiao(Gastrointestinal and Anorectal Surgery,Yixing People’s Hospital,Yixing,Ji-angsu,214200,China)

机构地区：[1]宜兴市人民医院胃肠、肛肠外科,江苏宜兴214200

出　　处：《黑龙江医学》2022年第2期139-141,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨对比腹腔镜手术与经腹开放手术治疗大肠癌的疗效。方法:选取2015年3月—2020年4月宜兴市人民医院收治的78例大肠癌患者作为研究对象。采用随机数字表法分为观察组与对照组,每组各39例。其中对照组采取经腹开放手术,观察组采取腹腔镜手术。观察比较两组患者治疗效果、不良反应生活质量及心理状态。结果:两组患者大肠癌术后治疗效果对比,观察组手术时间、术中出血量、肠道功能恢复时间、术后下床时间、恢复流质时间及住院天数均低于对照组,差异有统计学意义(t=2.993、3.085、3.925、5.094、3.949、10.769,P<0.05)。观察组患者感染、出血、尿潴留及吻合口瘘等不良反应均低于对照组,差异有统计学意义(χ^(2)=5.636,P<0.05)。手术后,观察组患者生理状态、体力状态和社会功能等生活质量评分明显高于对照组,差异有统计学意义(t=10.842、19.800、18.737,P<0.05)。手术后,观察组和对照组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分比较,观察组明显低于对照组,差异有统计学意义(t=18.130、16.632,P<0.05)。结论:腹腔镜手术治疗大肠癌疗效显著,能有效减少手术时间及住院时间,控制出血量,促进机体恢复,且术后不良反应少,提高生活质量,改善不良情绪,安全性高,值得临床推广。Objective:To compare the efficacy of laparoscopic surgery and transabdominal open surgery in the treatment of colorectal cancer.Methods:A total of 78 patients with colorectal cancer admitted to the hospital from March 2015 to April 2020 were selected and randomly divided into the observation group and the control group with 39 cases in each group.The control group was treated with transabdominal open surgery,and the observation group was treated with laparoscopic surgery.The treatment effects and the adverse reactions of the two groups were observed.Results:In terms of comparison of postoperative treatment effects for colorectal cancer between the two groups,the operation time,intraoperative blood loss,intestinal function recovery time,postoperative bed time,fluid recovery time and hospital stay in the observation group were lower than those in the control group,with statistically significant difference(t=2.993,3.085,3.925,5.094,3.949,10.769,P<0.05).The adverse reactions such as infection,bleeding,urinary retention and anastomotic leakage in the observation group were lower than those in the control group,with statistically significant difference(χ^(2)=5.636,P<0.05).After operation,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)of the observation group were significantly lower than those of the control group,with statistically significant difference(t=18.130,16.632,P<0.05).Conclusion:Laparoscopic surgery is effective in the treatment of colorectal cancer,which can effectively reduce the operation time and hospitalization time,control the amount of bleeding,and promote the recovery of the body with few postoperative adverse reactions and high safety.It is worthy of clinical promotion.

关 键 词：大肠癌 腹腔镜手术 经腹开放手术 

分 类 号：R735.34[医药卫生—肿瘤]