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目的探讨能量平台(Force TriadTM)在低位直肠癌手术中的应用价值。方法选取经过病理检查确诊的低位直肠癌患者.将经使用能量平台后行手术治疗低位直肠癌患者作为治疗组,选取行传统的直肠癌根治术的患者作为对照组,各40例。比较两组手术时间、术中出血、进食时间、术后住院天数、切口长度、术后并发症、保肛率、用止痛药例数、淋巴结个数、切缘、费用、生存率、无瘤生存率等方面。结果在手术时间、术中出血、进食时间、术后住院天数、切口长度、术后并发症、用止痛药例、费用、和无瘤生存率等方面比较,观察组均优于对照组,差异有统计学意义(P<0.05)。两组在淋巴结个数、切缘阳性率和总生存率等方面无明显差异,无统计学意义(P>0.05)。结论能量平台在低位直肠癌根治术中的使用改善了手术难度、手术止血困难,提高了手术效率,而且创伤小、患者恢复快、术后并发症少,提高了患者的生活质量。
Objective To investigate the value of Force TriadTM in low rectal cancer surgery. Methods Patients with low rectal cancer diagnosed by pathology were selected, and 40 patients with low rectal cancer treated by energy platform were selected as the treatment group and 40 patients with conventional rectal cancer radical resection as the control group. The operative time, intraoperative bleeding, eating time, postoperative hospital stay, incision length, postoperative complications, anal sphincter preservation rate, the number of analgesic drugs, the number of lymph nodes, margin, cost, survival rate, tumor-free Survival rate and so on. Results Compared with the control group, the observation group was superior to the control group in the operation time, intraoperative bleeding, feeding time, postoperative hospital stay, incision length, postoperative complications, pain medication, cost, and tumor-free survival rate There was statistical significance (P <0.05). There was no significant difference between the two groups in the number of lymph nodes, the positive rate of margins and the overall survival rate, with no significant difference (P> 0.05). Conclusion The use of energy platform in radical resection of low rectal cancer has improved the difficulty of operation, difficult operation of hemostasis and improved operation efficiency. Moreover, the trauma is less, the patients recover faster and fewer postoperative complications, which improves the quality of life of patients.