腹腔镜下结肠癌切除术治疗高危结肠癌的临床意义探析  

Clinical Significance of Laparoscopic Resection in Treatment of High-risk Colon Cancer

作　　者：史延江[1] 赵娜[2] 

机构地区：[1]新疆昌吉州人民医院肿瘤科,新疆昌吉831100 [2]新疆昌吉州人民医院核医学科,新疆昌吉831100

出　　处：《中外医疗》2015年第26期70-71,共2页China & Foreign Medical Treatment

摘　　要：目的探讨应用腹腔镜下结肠癌切除术治疗高危结肠癌的临床价值。方法整群选取该院2013年6月—2014年12月期间收治的高危结肠癌患者62例作为研究对象,随机分为对照组和研究组,各31例。对照组患者采用传统开腹手术进行治疗,研究组采用腹腔镜下结肠癌切除术治疗,观察比较两组患者治疗的效果。结果研究组患者术中出血量、手术时间和住院时间均明显少于对照组,差异有统计学意义(P<0.05)。研究组患者并发症发生的几率为6.45%,对照组并发症发生率为22.58%,明显高于研究组患者,差异有统计学意义(P<0.05)。结论采用腹腔镜下结肠癌切除术对高危结肠癌患者进行治疗,能够有效减少对患者的创伤,缩短患者术后恢复的时间,降低术后并发症发生的几率,应推广使用。Objective To investigate the clinical value of laparoscopic resection in the treatment of high-risk colon cancer. Methods 62 patients with high-risk colon cancer admitted to our hospital between June 2013 and December 2014 were selected as the research object and randomly divided into control group and study group with 31 in each one. The patients in the control group were treated with traditional open surgery, while those in the study group underwent laparoscopic resection. We observed and compared the efficacy between the two groups. Results The intraoperative blood loss, operation duration and length of hospital stay were all less in the study group than in the control group, and the differences were statistically significant, P<0.05. The complication rate(6.45% vs 22.58%) was significantly lower in study group than in the control group, and the difference was statistically significant, P<0.05. Conclusion Laparoscopic resection is worthy of promotion in the treatment of high-risk colon cancer because it can reduce the trauma, shorten recovery time, and lower complication rate.

关 键 词：结肠癌切除术 腹腔镜 开腹手术 

分 类 号：R735.35[医药卫生—肿瘤]