论文部分内容阅读
目的探讨腹腔镜与开放式根治术治疗直肠癌的临床疗效观察。方法收集漯河市第二人民医院行直肠癌根治术的患者98例,随机分为对照组和观察组各49例,对照组采用开放式根治手术治疗,观察组采用腹腔镜治疗,分别从手术时间、手术出血量、淋巴结清扫情况、术后并发症、患者住院时间观察两组手术治疗临床效果。结果观察组手术时间及术中出血量低于对照组,差异具有统计学意义(P<0.05);观察组淋巴结清扫量8.9个,对照组11.1个,差异具有统计学意义(P<0.05);两组并发症发生情况差异无统计学意义(P>0.05)。对照组患者住院时间(18.2±3.2)d,高于观察组,组间比较差异具有统计学意义(P<0.05)。结论腹腔镜下进行根治直肠癌手术,手术时间短、术中患者出血量少,并发症发生少且身体恢复较快,使用腹腔镜根治直肠癌术有利于提高患者术后生活质量。
Objective To investigate the clinical effects of laparoscopy and open radical surgery in the treatment of rectal cancer. Methods A total of 98 patients with rectal cancer underwent radical resection in the Second People’s Hospital of Luohe City were randomly divided into control group and observation group with 49 cases each. The control group was treated with open radical surgery, and the observation group was treated with laparoscopy separately from the operation time , Surgical bleeding, lymph node dissection, postoperative complications, hospitalization time were observed in two groups of surgical treatment of clinical effect. Results The operation time and intraoperative blood loss in the observation group were lower than those in the control group (P <0.05). There were 8.9 lymph node dissections in the observation group and 11.1 in the control group, with statistical significance (P <0.05). There was no significant difference in the incidence of complications between the two groups (P> 0.05). The control group patients hospitalization time (18.2 ± 3.2) d, higher than the observation group, the difference between the groups was statistically significant (P <0.05). Conclusions Laparoscopic radical operation of rectal cancer, operation time is short, intraoperative blood loss less, fewer complications and body recovery faster, the use of laparoscopic radical rectal cancer surgery is conducive to improving postoperative quality of life.