经自然腔道取出标本手术在结直肠癌治疗中的疗效研究  

Efficacy Study of Natural Orifice Specimen Extraction Surgery in the Treatment of Colorectal Cancer

作　　者：唐雪飞 曹川 袁俊峰 TANG Xuefei;CAO Chuan;YUAN Junfeng(Department of General Surgery,Yidu City People's Hospital,Yidu,Hubei,443300,China)

机构地区：[1]宜都市人民医院普外科,湖北宜都443300

出　　处：《中外医疗》2024年第26期30-33,共4页China & Foreign Medical Treatment

摘　　要：目的 研究经自然腔道取出标本手术在结直肠癌治疗中的效果。方法 回顾性选取2021年9月—2023年9月宜都市人民医院收治的108例结直肠癌患者的临床资料,按照治疗方法的不同将患者分成两组,每组54例,对照组采用常规腹腔镜手术治疗,观察组采用经自然腔道取出标本手术治疗,对比两组患者手术相关指标、手术前后免疫功能和并发症发生率对比。结果 观察组首次排气时间(45.12±5.33)h、首次离床时间(38.42±5.12)h、首次进食时间(47.74±2.10)h、首次排便时间(68.47±4.45)h、住院天数(9.01±1.25)d均短于对照组的(55.62±7.45)h、(46.78±5.33)h、(57.28±3.58)h、(76.52±5.98)h、(11.56±3.32)d,差异有统计学意义(t=8.423、8.312、16.891、7.936、5.282,P均<0.05)。治疗后,观察组免疫功能指标水平低于对照组,差异有统计学意义(P<0.05)。观察组患者术后并发症总发生率低于对照组,但差异无统计学意义(P>0.05)。结论 结直肠癌患者采用经自然腔道取出标本手术治疗能让患者的相关指标得到改善,提高免疫能力。Objective To evaluate the clinical effect of natural orifice specimen extraction surgery for colorectal can⁃cer.Methods The clinical data of 108 patients with colorectal cancer admitted to Yidu People's Hospital from Sep⁃tember 2021 to September 2023 were retrospectively analyzed.The patients were divided into two groups according to different treatment methods,with 54 cases in each group.The control group was treated with conventional laparo⁃scopic surgery.The observation group was treated with natural orifice specimen extraction surgery.The operation-related indicators,immune function before and after surgery,and the incidence of complications were compared be⁃tween the two groups.Results The first exhaust time(45.12±5.33)h,the first time out of bed(38.42±5.12)h,the first time to eat(47.74±2.10)h,the first time to defecate(68.47±4.45)h,and the hospitalization days(9.01±1.25)d in the observation group were shorter than those in the control group(55.62±7.45)h,(46.78±5.33)h,(57.28±3.58)h,(76.52±5.98)h,(11.56±3.32)d,and the differences were statistically significant(t=8.423,8.312,16.891,7.936,5.282,all P<0.05).After treatment,the level of immune function indexes of the observation group is lower than that of the control group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,but the difference was not statistically significant(P>0.05).Conclusion The surgical treatment of colorectal cancer patients with specimens through natural orifice can im⁃prove the relevant indexes and improve the immune ability.

关 键 词：经自然腔道取出标本手术 结直肠癌 疗效 

分 类 号：R735.3[医药卫生—肿瘤]