盆底腹膜重建对直肠癌患者微创低位直肠癌前切除手术效果的影响研究  

Study on effect of pelvic floor peritoneal reconstruction on minimally invasive low anterior resection in rectal cancer patients

作　　者：张安华[1] 王业友 王忠芳 张金杰 ZHANG An-hua;WANG Ye-you;WANG Zhong-fang(First Department of General Surgery,People's Hospital of Gaomi City,Gaomi 261500,China)

机构地区：[1]山东省高密市人民医院普外一科,261500

出　　处：《中国实用医药》2024年第12期43-46,共4页China Practical Medicine

摘　　要：目的 探讨盆底腹膜重建对直肠癌患者微创低位直肠癌前切除术(MILAR)手术效果的影响。方法 128例直肠癌患者,采用随机分组的形式分为观察组和对照组,各64例。对照组患者采用常规的手术方法治疗,观察组在其基础上进行盆底腹膜重建的MILAR。比较两组患者术后炎性指标水平、并发症发生情况和二次手术率。结果 两组术后第1、3、5天的血C反应蛋白、降钙素原水平无显著差异(P>0.05)。两组术后第3天的血C反应蛋白水平均高于术后第1、5天,术后第5天的血C反应蛋白水平均低于术后第1天,具有统计学意义(P<0.05)。两组术后第5天的降钙素原水平均低于术后第1、3天,具有统计学意义(P<0.05)。观察组并发症发生率6.25%明显低于对照组的18.75%,具有统计学意义(P<0.05)。观察组无二次手术,而对照组有6例(9.38%)进行二次手术,两组二次手术率比较具有统计学意义(P<0.05)。结论 盆底腹膜重建在MILAR手术中具有不可或缺的作用,有助于提高手术效果,降低并发症风险,改善患者的生活质量。这一手术技术的不断改进将进一步推动MILAR在直肠癌治疗中的应用,为患者提供更好的治疗选择。Objective To explore the effect of pelvic floor peritoneal reconstruction on minimally invasive low anterior resection(MILAR)in rectal cancer patients.Methods 128 patients with rectal cancer were selected.The patients were randomly divided into an observation group and a control group,with 64 patients in each group.The control group was treated with conventional surgical methods,while the observation group underwent MILAR surgery for pelvic floor peritoneal reconstruction based on the control group.The level of postoperative inflammatory indexes,the occurrence of complications and the rate of secondary surgeries were compared between the two groups of patients.Results There were no significant differences in the levels of C-reactive protein and procalcitonin on the 1st,3rd and 5th day after surgery between the two groups(P>0.05).The serum C-reactive protein level on the 3rd day after surgery was higher than that on the 1st and 5th day after surgery in both groups,and the serum C-reactive protein level on the 5th day after surgery was lower than that on the 1st day after surgery.There was statistical significance(P<0.05).The levels of procalcitonin on the 5th day after surgery in both groups were lower than those on the 1st and 3rd day after surgery,and there was statistical significance(P<0.05).The incidence of complications in the observation group was 6.25%,which was significantly lower than the control group's 18.75%,and there was statistical significance(P<0.05).There were no secondary surgeries in the observation group,while there were 6 cases in the control group who underwent secondary surgeries,and the difference in the rate of secondary surgeries between the two groups was statistically significant(P<0.05).Conclusion Pelvic floor peritoneal reconstruction plays an indispensable role in MILAR surgery,which helps to improve surgical outcomes,reduce the risk of complications,and improve patients'quality of life.The continuous improvement of this surgical technique will further promote the application of MIL

关 键 词：盆底腹膜重建 直肠癌 微创 低位前切除 手术效果 

分 类 号：R735.37[医药卫生—肿瘤]