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目的:比较分析腹腔镜与开腹低位直肠癌保肛手术预后效果。方法:选取我院2006年9月至2015年9月收治的124例低位直肠癌患者为研究对象,并随机分为对照组和观察组,对照组采用传统开腹治疗,观察组给予腹腔镜手术治疗,比较两组患者的预后质量。结果:观察组在术后肛门排气时间、肠道功能恢复时间、下床活动时间、导尿管留置时间、住院时间均明显短于对照组,差异有统计学意义(P<0.05);观察组的并发症发生率为9.7%,对照组的并发症发生率为32.2%,差异有统计学意义(P<0.05)。结论:腹腔镜手术在治疗低位直肠癌上具有明显的优势,能显著提高患者的预后效果,降低并发症的发生率,值得在临床上广泛推广。
Objective: To comparatively analyze the prognostic value of anal sphincter preservation in laparoscopic and open lower rectal cancer. Methods: A total of 124 patients with low rectal cancer treated in our hospital from September 2006 to September 2015 were selected and randomly divided into control group and observation group. The control group was treated by conventional laparotomy. The observation group was given laparoscopic surgery Treatment, the quality of the prognosis of two groups were compared. Results: The time of anal exhaust, the time of recovery of intestinal function, the time of going out of bed, the catheterization time and hospital stay in the observation group were significantly shorter than those in the control group (P <0.05). The observation group The complication rate was 9.7% in the group and 32.2% in the control group, the difference was statistically significant (P <0.05). Conclusion: Laparoscopic surgery in the treatment of low rectal cancer has obvious advantages, can significantly improve the prognosis of patients and reduce the incidence of complications, it is widely recommended in the clinic.