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目的研究探讨腔镜手术治疗结直肠癌的近期及远期疗效。方法 100例结直肠癌患者,随机分为观察组与对照组,每组50例。对照组给予常规临床开放性手术,观察组给予腔镜手术。比较两组患者的治疗效果。结果观察组患者手术时间(122.15±31.35)min与对照组的(123.54±30.45)min比较差异无统计学意义(P>0.05)。观察组患者术中出血量(50.15±14.35)ml、住院时间(8.15±1.35)d均优于对照组的(110.54±30.45)ml、(12.54±6.45)d,差异均具有统计学意义(P<0.01)。观察组患者1、3、5年生存率(94.0%、88.0%、80.0%)与对照组(96.0%、88.0%、78.0%)比较差异均无统计学意义(P>0.05)。结论腔镜手术治疗结直肠癌患者具有机体损伤小、出血量少、恢复快、住院时间短等优点,且其近期及远期疗效与开放性手术并无差别,临床上值得推广。
Objective To study the short-term and long-term effects of endoscopic surgery for colorectal cancer. Methods 100 cases of colorectal cancer patients were randomly divided into observation group and control group, 50 cases in each group. The control group was given routine clinical open surgery, and the observation group was given endoscopic surgery. The treatment effect of two groups of patients was compared. Results There was no significant difference between the observation group (122.15 ± 31.35) min and the control group (123.54 ± 30.45) min (P> 0.05). The blood loss (50.15 ± 14.35) ml and hospital stay (8.15 ± 1.35) days in observation group were significantly higher than those in control group (110.54 ± 30.45) ml and (12.54 ± 6.45) days, respectively, and the differences were statistically significant (P <0.01). The 1, 3, 5 year survival rates (94.0%, 88.0%, 80.0%) in the observation group were not significantly different from those in the control group (96.0%, 88.0%, 78.0%) (P> 0.05). Conclusions Endoscopic surgery for colorectal cancer patients with small body injury, less bleeding, faster recovery, shorter hospital stay, and the short-term and long-term efficacy of open surgery and no difference, clinically worth promoting.