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目的探索腹腔镜手术治疗直肠癌的临床疗效及安全性。方法 60例直肠癌患者按不同手术方案随机分为观察组(腹腔镜手术治疗)36例和对照组(开腹手术治疗)24例,术后随访1年,对患者术中各项指标及术后并发症实施观察并记录,并进行分析比较。结果观察组手术用时长于对照组(P<0.05);观察组术中出血量、术后肛门首次排气时间及术后住院时间均优于对照组(P<0.05);观察组的术后伤口感染及吻合口瘘发生率明显低于对照组,差异有统计学意义(P<0.05),观察组并发症的总发生率明显低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜用于治疗直肠癌术中出血少,术后恢复快,且并发症少,值得临床推广。
Objective To explore the clinical efficacy and safety of laparoscopic surgery for rectal cancer. Methods Sixty-six patients with rectal cancer who were randomly divided into observation group (laparoscopic surgery) and control group (laparotomy) according to different surgical regimens. Twenty-four patients were followed up for one year. All the indexes Postoperative complications were observed and recorded, and analyzed and compared. Results The operation time of the observation group was longer than that of the control group (P <0.05). The bleeding volume, the time of the first anus after the operation and the postoperative hospital stay in the observation group were better than those in the control group (P <0.05) The incidence of wound infection and anastomotic fistula was significantly lower than that of the control group (P <0.05). The overall incidence of complications in the observation group was significantly lower than that in the control group (P <0.05). Conclusion Laparoscopy for the treatment of rectal cancer bleeding less surgery, rapid recovery, and fewer complications, is worth clinical promotion.