论文部分内容阅读
目的:探究低位直肠癌患者采用腹腔镜保肛手术治疗的方法和效果。方法:选取2010年6月-2012年6月收治的19例低位直肠癌患者进行治疗,手术前皆作肠镜检查病理明确诊断,未发现明显转移灶,无肠梗阻及肠穿孔症状,排除腹腔镜手术禁忌证。随机分组,实验组11例患者选择腹腔镜治疗,对照组患者8例予传统开放式手术,比较患者的手术治疗情况及术后患者肠功能等身体机能恢复情况。结果:实验组患者在恢复进食时间,术中出血量,手术时间和术后的住院时间上明显好于对照组,有统计学意义(P<0.05)。实验组并发症发生率为9.1%,对照组并发症发生率为37.5%,对照组患者的并发率明显高于对照组,有统计学意义(P<0.05)。结论:低位直肠癌患者采用腹腔镜保肛手术治疗,能有效切除肿瘤肠段及作相关区域淋巴清扫,既达到根治效果又提高患者生存质量。在术后各项身体功能的恢复上明显好于传统开放式手术,相对安全性高,成功保肛,效果显著,值得临床推广。
Objective: To explore the method and effect of laparoscopic anal sphincter preservation in patients with low rectal cancer. METHODS: Twenty-nine patients with low rectal cancer who were admitted to our hospital from June 2010 to June 2012 were enrolled in this study. All patients underwent colonoscopy for pathological diagnosis before operation. No obvious metastasis, intestinal obstruction and intestinal perforation were found, Mirror surgery contraindication. Randomly divided into groups, 11 cases in the experimental group were treated by laparoscopy, while 8 cases in the control group were treated by traditional open surgery. Surgical treatment and postoperative patients’ intestinal function recovery were compared. Results: The experimental group was significantly better than the control group in restoring food intake, intraoperative blood loss, operation time and postoperative hospital stay (P <0.05). The incidence of complications in the experimental group was 9.1%, the incidence of complications in the control group was 37.5%. The incidence of complications in the control group was significantly higher than that in the control group (P <0.05). Conclusion: The patients with low rectal cancer were treated with laparoscopic anal sphincter preservation, which can effectively remove the bowel segment of the tumor and lymphadenectasis in the relevant area, which not only achieved the curative effect but also improved the quality of life of patients. In the postoperative recovery of various body functions was significantly better than the traditional open surgery, the relative safety of high, the successful preservation of anal, the effect is significant, worthy of clinical promotion.