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目的研究回顾结肠癌患者行腹腔镜手术与传统开腹手术治疗的临床效果。方法 70例结肠癌患者随机分为观察组和对照组,每组35例。对照组行传统开腹手术治疗,观察组行腹腔镜手术治疗。比较两组临床效果。结果两组患者的切口长度、手术时间、术中出血量、术后通气时间、住院时间比较差异有统计学意义(P<0.05),而淋巴结清除数比较差异无统计学意义(P>0.05);观察组术后并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜手术和传统开腹手术两种方法疗效相近,但腹腔镜手术具有微创、安全、患者术后疼痛轻、恢复快等优势,值得在临床上使用。
Objective To study the clinical effects of laparoscopic surgery and traditional laparotomy in patients with colon cancer. Methods Seventy patients with colon cancer were randomly divided into observation group and control group, 35 cases in each group. The control group underwent traditional laparotomy and the observation group underwent laparoscopic surgery. The clinical effects of two groups were compared. Results There were significant differences in incision length, operation time, blood loss, postoperative ventilation time and hospital stay between the two groups (P <0.05), but there was no significant difference in lymph node clearance between the two groups (P> 0.05) ; The incidence of postoperative complications in the observation group was significantly lower than that in the control group, the difference was statistically significant (P <0.05). Conclusions Both laparoscopic and traditional laparotomy have similar curative effect. However, laparoscopic surgery has the advantages of minimally invasive and safe operation, less postoperative pain and faster recovery, which is worthy of clinical application.