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目的探讨腹腔镜与开腹手术治疗结直肠癌患者的临床效果。方法取2014年11月至2015年11月大连市第三人民医院收治的82例结直肠癌患者为研究对象,按随机数字表法将其分为对照组与观察组,各41例。对照组患者行常规开腹手术,观察组患者采用腹腔镜下结直肠癌手术进行治疗,比较两组患者手术时间、术中出血量、肛门排气时间、住院时间、并发症发生情况及术后肠梗阻发生情况。结果观察组患者手术时间、肛门排气时间、住院时间均明显短于对照组,术中出血量明显少于对照组,差异均有统计学意义(均P<0.05);观察组患者术后肠梗阻发生率明显低于对照组,差异有统计学意义(P<0.05)。结论相较于常规开腹手术而言,腹腔镜下结直肠癌手术能够为结直肠癌患者提供更加理想的治疗效果,同时亦能够大幅缩短手术及住院时间,有效降低肠梗阻发生率。
Objective To investigate the clinical effect of laparoscopy and laparotomy on patients with colorectal cancer. Methods Eighty-two patients with colorectal cancer admitted to Dalian Third People’s Hospital from November 2014 to November 2015 were divided into control group and observation group according to random number table method, 41 cases in each group. The patients in the control group underwent conventional laparotomy. The patients in the observation group were treated with laparoscopic colorectal cancer surgery. The operation time, blood loss, anal exhaust time, hospitalization time, complications and postoperative complications were compared between the two groups Intestinal obstruction occurred. Results The operation time, anal exhaust time and hospitalization time in the observation group were significantly shorter than those in the control group, and the amount of bleeding in the observation group was significantly less than that in the control group (all P <0.05). In the observation group, Obstruction was significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusion Compared with conventional laparotomy, laparoscopic surgery for colorectal cancer can provide more ideal treatment for patients with colorectal cancer, and meanwhile, it can greatly reduce the operation and hospitalization time and effectively reduce the incidence of intestinal obstruction.