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目的探讨腹腔镜辅助直肠癌中保肛手术的相关治疗效果。方法选取行中低位直肠癌保肛手术患者70例,根据手术方式的不同随机分为观察组和对照组,其中观察组40例行腹腔镜辅助直肠癌保肛术,对照组30例行常规的套入式吻合保肛术,对比分析两组患者的相关治疗情况。结果观察组患者的手术出血量、平均手术时间以及排气时间、拔尿管时间、住院时间分别为(63.98±8.65)ml、(170.18±27.56)min、(3.98±0.56)d、(3.7±80.32)d、(7.82±0.77)d,均优于对照组,差异有统计学意义(P<0.05);且观察组患者不良反应率为10%,小于对照组的26.7%(P<0.01)。结论使用腹腔镜辅助直肠癌保肛手术,相关治疗效果明显。
Objective To investigate the effect of anal sphincter preservation in laparoscopic assisted rectal cancer. Methods 70 cases of low anorectal cancer patients undergoing anal sphincter preservation surgery were randomly divided into observation group and control group according to the different surgical methods. Among them, 40 cases in observation group received laparoscopic assisted rectal cancer anal sphincter preservation surgery and 30 cases in control group received routine Nesting anastomosis anal surgery, comparative analysis of the two groups of patients related to treatment. Results The amount of operation bleeding, average operation time, exhaust time, catheter removal time and hospital stay in observation group were (63.98 ± 8.65) ml, (170.18 ± 27.56) min, (3.98 ± 0.56) d and 80.32) d, (7.82 ± 0.77) d, respectively, which were significantly higher than those in the control group (P <0.05). The adverse reaction rate in the observation group was 10%, which was less than 26.7% of the control group . Conclusions The use of laparoscopic anorectal surgery assisted rectal surgery, the treatment effect is obvious.