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目的观察腹腔镜治疗结直肠癌的疗效以及术后肠梗阻发生率的差异。方法 86例结直肠癌患者,按随机数字表法随机分成观察组和对照组,每组43例。对照组采用传统开腹手术进行治疗,观察组采用腹腔镜根治术进行治疗,比较两组的疗效以及术后肠梗阻发生率的差异。结果观察组手术时间为(129.58±52.74)min,明显短于对照组的(188.42±47.22)min,差异有统计学意义(P<0.05);观察组术中出血量、肛门排气时间、住院时间明显优于对照组,差异有统计学意义(P<0.05);观察组住院费用显著高于对照组,差异有统计学意义(P<0.05)。观察组术后肠梗阻发生率为6.98%,明显低于对照组的23.26%,差异具有统计学意义(P<0.05)。结论相比于传统开腹手术,腹腔镜结直肠癌根治术对患者造成的创伤小、术后疗效更好,同时术后肠梗阻的发生情况也明显减少,但费用相对较高,在患者经济条件允许的情况下可推广使用。
Objective To observe the efficacy of laparoscopic treatment of colorectal cancer and the incidence of postoperative intestinal obstruction. Methods 86 patients with colorectal cancer were randomly divided into observation group and control group according to random number table method, with 43 cases in each group. The control group was treated by traditional laparotomy. The observation group was treated by laparoscopic radical mastectomy. The curative effect of the two groups and the incidence of postoperative intestinal obstruction were compared. Results The operation time of the observation group was (129.58 ± 52.74) min, which was significantly shorter than that of the control group (188.42 ± 47.22) min, the difference was statistically significant (P <0.05). The observation group’s intraoperative blood loss, anal exhaust time, The time was significantly better than the control group, the difference was statistically significant (P <0.05); hospitalization costs were significantly higher in the observation group than in the control group, the difference was statistically significant (P <0.05). The incidence of postoperative intestinal obstruction in the observation group was 6.98%, which was significantly lower than that in the control group (23.26%), the difference was statistically significant (P <0.05). Conclusion Compared with the traditional laparoscopic surgery, laparoscopic radical resection of colorectal cancer caused less trauma to the patient, the effect is better, and the incidence of postoperative intestinal obstruction is also significantly reduced, but the cost is relatively high, in patients with economic Conditions permitting the promotion of the use of the case.