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目的对比与分析腹腔镜直肠癌手术与传统开腹直肠癌手术的临床疗效。方法随机选取2013年5月至2016年10月来上蔡县人民医院予以根治性手术治疗都直肠癌患者90例为研究对象,分别予以腹腔镜直肠癌手术和传统开腹手术治疗,比较两组的手术疗效。结果腹腔镜术中出血量、导尿管留置时间、住院天数均少于开腹组,经比较(P<0.05)。两组淋巴结清扫数量相当,经比较(P>0.05)。腹腔镜组术后1d、术后3d CRP及IL-6水平均明显低于开腹组,经比较(P<0.05)。腹腔镜组近期疗效明显优于开腹组,经比较(χ2=4.406,P=0.036)。腹腔镜组仅粘连性肠梗阻发生率低于开腹组,经比较(P<0.05)。结论腹腔镜直肠癌手术相对传统开腹手术,其具有具有出血少、导尿管留置时间短、住院时间短、能保护机体免疫功能、近远期疗效好等优势,值得临床推广运用。
Objective To compare and analyze the clinical effect of laparoscopic rectal cancer surgery and traditional open rectal cancer surgery. Methods From May 2013 to October 2016, 90 patients with rectal cancer undergoing radical surgery in Shangcai County People’s Hospital were randomly divided into two groups: laparoscopic rectal cancer surgery and traditional laparotomy. Surgical efficacy. Results The amount of laparoscopic bleeding, catheter retention time, hospitalization days were less than the open group, compared (P <0.05). The number of lymph node dissection in both groups was comparable (P> 0.05). The level of CRP and IL-6 on postoperative day 1 and postoperative day 3 were significantly lower in laparoscopic group than those in open group (P <0.05). Laparoscopic group was significantly better than the open group in the near future, compared (χ2 = 4.406, P = 0.036). The incidence of adhesive intestinal obstruction in laparoscopic group was lower than that in open group (P <0.05). Conclusion Laparoscopic rectal cancer surgery is more traditional laparotomy, which has less bleeding, catheterization time is short, shorter hospital stay, can protect the body’s immune function, short-term efficacy and other advantages, it is worth promoting the use of clinical.