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目的对比腹腔镜和开腹手术治疗结肠癌的临床效果。方法选取医院2015年1月-2017年1月收治的结肠癌患者70例,将其随机分为2组,每组35例,研究组采用腹腔镜手术治疗,对照组采用常规开腹手术治疗,对比2组临床疗效。结果研究组患者的手术时间、首次排气时间、住院时间明显短于对照组,术中出血量明显少于对照组,淋巴结清扫数量明显多于对照组,差异均有统计学意义(P<0.05)。研究组并发症发生率为14.29%(5/35)低于对照组的25.71%(9/35),差异有统计学意义(P<0.05)。结论腹腔镜手术治疗结肠癌患者疗效较好,而且安全性较高,不易导致患者出现严重的并发症,有利于患者的术后恢复,值得在临床上推广与应用。
Objective To compare the clinical effects of laparoscopy and laparotomy in the treatment of colon cancer. Methods Seventy patients with colon cancer admitted to our hospital from January 2015 to January 2017 were randomly divided into two groups (35 in each group). The study group was treated with laparoscopic surgery and the control group with conventional laparotomy. Compare 2 groups of clinical curative effect. Results The operation time, the time of the first extubation and the length of hospital stay in the study group were significantly shorter than those in the control group. The amount of bleeding during surgery was significantly less than that of the control group. The number of lymph node dissection was significantly more than that of the control group (P <0.05 ). The incidence of complications in the study group was 14.29% (5/35), which was lower than that in the control group (25.71%, 9/35). The difference was statistically significant (P <0.05). Conclusions Laparoscopic surgery for patients with colon cancer has better curative effect and higher safety. It is not easy to cause serious complications in patients and is beneficial to the postoperative recovery of patients. It is worth to be popularized and applied clinically.