论文部分内容阅读
目的对比腹腔镜和传统根治术在结肠直肠癌方面的治疗效果。方法自2012年1月至2014年1月期间抽取60例结肠直肠癌患者,并按照随机分配与自愿的原则将其平均分为A、B两组。A组(30例)采用腹腔镜下结肠直肠癌根治手术治疗;B组(30例)则采用传统根治手术治疗,比较两组治疗效果。应用SPSS 17.0软件进行统计学分析,计量资料比较用t检验,计数资料比较用χ2检验,P<0.05,差异具有统计学意义。结果 A组手术中的平均出血量为(161±95)ml,远小于B组的(403±201)ml。A组手术时间和住院时间分别为(189±45)min和(8.5±2.1)d,也都小于B组的(202±66)min和(11.7±2.9)d。以上两组差异具有统计学意义(t值分别为:2.752、2.225、2.701,P<0.05)。A、B两组手术中淋巴结清扫数分别为(11.5±4.4)枚和(11.9±6.0)枚,两组局部复发率和转移率分别为3.3%,6.7%和6.7%,10.0%。以上两组差异无统计学意义(P>0.05)。结论在腹腔镜下进行结肠直肠癌的根治手术可达到与传统的根治术相近的根治效果。且腹腔镜下根治术还有术中平均出血量少、住院时间短等优点,值得临床推广应用。
Objective To compare the therapeutic effects of laparoscopy and conventional radical mastectomy in colorectal cancer. Methods Sixty patients with colorectal cancer were selected from January 2012 to January 2014 and divided into groups A and B according to the principle of random distribution and voluntary. Group A (30 cases) were treated by laparoscopic radical resection of colorectal cancer; Group B (30 cases) were treated by conventional radical operation, and the treatment effect was compared between the two groups. SPSS 17.0 software was used for statistical analysis, measurement data were compared using t test, count data were compared usingχ2 test, P <0.05, the difference was statistically significant. Results The average amount of bleeding during operation in group A was (161 ± 95) ml, much less than that in group B (403 ± 201) ml. The operative time and hospital stay in group A were (189 ± 45) min and (8.5 ± 2.1) d, respectively, which were also lower than those in group B (202 ± 66) min and (11.7 ± 2.9) d, respectively. The difference between the two groups was statistically significant (t = 2.752,2.225,2.701, P <0.05). The number of lymph nodes dissection in group A and B were (11.5 ± 4.4) and (11.9 ± 6.0) pieces, respectively. The local recurrence and metastasis rates in group A and group B were 3.3%, 6.7% and 6.7%, 10.0% respectively. There was no significant difference between the above two groups (P> 0.05). Conclusions Radical resection of colorectal cancer under laparoscopy can achieve the same curative effect as conventional radical operation. Laparoscopic radical operation also has the advantages of less average blood loss and shorter hospital stay, which is worthy of clinical application.