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目的探讨开腹手术与腹腔镜辅助治疗结直肠癌的临床疗效。方法选取景德镇市第一人民医院2012年10月—2015年6月收治的结直肠癌患者150例,随机分为开腹组(n=77)和腹腔镜组(n=73)。开腹组患者采取传统开腹手术治疗,腹腔镜组患者采取腹腔镜术治疗。比较两组患者的复发、转移情况及并发症发生情况。结果两组患者局部转移率及复发率比较,差异无统计学意义(P>0.05)。腹腔镜组患者粘连性肠梗阻发生率低于开腹组(P<0.05)。两组患者切口疝、切口种植发生率比较,差异无统计学意义(P>0.05)。结论开腹手术与腹腔镜手术治疗结直肠癌患者的局部转移及复发情况相当,但腹腔镜术治疗可降低粘连性肠梗阻发生风险,提高患者的生活质量。
Objective To investigate the clinical efficacy of laparotomy and laparoscopy in the treatment of colorectal cancer. Methods 150 patients with colorectal cancer admitted to the First People’s Hospital of Jingdezhen from October 2012 to June 2015 were randomly divided into open group (n = 77) and laparoscopic group (n = 73). The patients in laparotomy group were treated by traditional laparotomy, while those in laparoscopic group were treated by laparoscopy. The recurrence, metastasis and complications of the two groups were compared. Results There was no significant difference in the local metastasis rate and recurrence between the two groups (P> 0.05). The incidence of adhesive intestinal obstruction in laparoscopic group was lower than that in open group (P <0.05). There was no significant difference in incisional hernia and incision implantation between the two groups (P> 0.05). Conclusion Laparoscopic surgery and laparoscopic surgery in patients with colorectal cancer metastasis and local recurrence quite, but laparoscopic treatment can reduce the risk of adhesive intestinal obstruction and improve the quality of life of patients.