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目的对直肠癌患者接受腹腔镜下直肠癌前侧切除术治疗的效果进行分析研究。方法 70例直肠癌患者,随机分为对照组和观察组,各35例。对照组使用传统开腹手术治疗,观察组使用腹腔镜下直肠癌前侧切除术治疗,对两组的临床治疗效果、并发症情况、3年生存率进行对比分析。结果观察组患者的临床治疗总有效率为94.29%,高于对照组的62.86%,差异有统计学意义(χ~2=10.267,P<0.05)。观察组患者的并发症发生率为11.4%,低于对照组的31.4%,差异有统计学意义(χ~2=4.158,P<0.05)。对患者进行3年随访,观察组有30例生存,生存率为85.71%,对照组有22例生存,生存率为62.86%;两组生存率比较差异有统计学意义(χ~2=4.786,P<0.05)。结论直肠癌患者接受腹腔镜下直肠癌前侧切除术治疗的效果突出,不良反应少,3年存活率高,患者生活质量改善明显,值得临床推广应用。
Objective To analyze the effect of laparoscopic anterior resection of rectal cancer in patients with rectal cancer. Methods 70 patients with rectal cancer were randomly divided into control group and observation group, 35 cases in each. The control group was treated with conventional laparotomy. The observation group was treated with laparoscopic anterior resection of rectal cancer. The clinical effects, complications and 3-year survival rate of the two groups were compared. Results The total effective rate of clinical treatment in observation group was 94.29%, which was higher than that in control group (62.86%), the difference was statistically significant (χ ~ 2 = 10.267, P <0.05). The incidence of complication in observation group was 11.4%, which was lower than that in control group (31.4%) (χ ~ 2 = 4.158, P <0.05). Survival rate was 85.71% in 30 cases in observation group and 22.86% in control group. There was significant difference in survival rate between the two groups (χ ~ 2 = 4.786, P <0.05). Conclusion Rectal cancer patients underwent laparoscopic resection of the anterior resection of colorectal cancer with outstanding results, fewer adverse reactions, 3-year survival rate, patients with significant improvement in quality of life, worthy of clinical application.