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目的探究腹腔镜结肠癌手术应用于结肠癌不同分期的合理性。方法近5年来我院治疗的采用腹腔镜结肠癌手术的结肠癌患者92例,采用开腹手术治疗的结肠癌患者70例,根据他们的病情分期,分为A组、B组、C组、D组。观察记录所有患者术中及术后的健康情况,并进行术后随访,观察3年后他们的存活率等。结果经过手术后的患者,腹腔镜组的A组、B组、C组、D组的术中出血量比对照组相应的分组少,术后镇痛时间和住院时间比对照组相应的分组短,差异具有统计学意义(P<0.05)。并且3年后实验组的总存活率也比对照组相应的分组高,差异具有统计学意义(P<0.05)。结论治疗结肠癌疾病时,腹腔镜结肠癌手术在术后住院时间、镇痛时间等方面优于开腹式手术,具有一定的合理性。
Objective To investigate the rationality of laparoscopic colon cancer surgery applied to different stages of colon cancer. Methods A total of 92 patients with colon cancer underwent laparoscopic colon cancer surgery in our hospital in the past 5 years and 70 patients with colon cancer underwent laparotomy. According to their stage of disease, they were divided into A group, B group, C group, Group D All patients were observed and recorded intraoperative and postoperative health, and postoperative follow-up, observation of their survival after 3 years and so on. Results After operation, the group A, B, C and D had less intraoperative bleeding than those in the control group, and the postoperative analgesia and hospital stay were shorter than those in the control group , The difference was statistically significant (P <0.05). And after 3 years, the total survival rate of the experimental group was also higher than the corresponding group of the control group, the difference was statistically significant (P <0.05). Conclusion In the treatment of colon cancer, laparoscopic colon cancer surgery is superior to laparotomy in postoperative hospital stay, analgesic time and so on, which is reasonable.