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目的对腹腔镜下全直肠系膜切除低位直肠保肛手术的应用价值进行分析探讨。方法 86例低位直肠癌患者随机分为对照组和观察组,各43例。对照组行传统开腹手术,观察组在腹腔镜下进行手术,对比两组患者的治疗效果。结果观察组患者的手术时间长于对照组,术中出血量少于对照组,术后排气时间短于对照组,差异均具有统计学意义(P<0.05)。观察组患者的手术优良率为79.09%高于对照组的60.47%,差异具有统计学意义(P<0.05)。结论腹腔镜下全直肠系膜切除低位直肠癌保肛手术具有安全性高、疗效好、患者痛苦少等优点,值得临床推广应用。
Objective To analyze the value of laparoscopic total mesorectal excision for rectal anorectal surgery. Methods 86 cases of low rectal cancer were randomly divided into control group and observation group, 43 cases in each. The control group underwent traditional laparotomy. The observation group underwent laparoscopic surgery and compared the therapeutic effect of the two groups. Results The operation time of the observation group was longer than that of the control group. The blood loss in the observation group was less than that of the control group. The time of postoperative exhaust was shorter than that of the control group. The differences were statistically significant (P <0.05). The excellent and good rate of observation group was 79.09% higher than that of control group (60.47%), the difference was statistically significant (P <0.05). Conclusion Laparoscopic total mesorectal excision of rectal cancer with anal sphincter preserving surgery has the advantages of high safety, good curative effect, less pain and so on, which is worthy of clinical application.