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目的:对比分析用腹腔镜手术和开腹手术治疗结肠癌的临床效果。方法:对2012年4月~2013年4月期间我院收治的46例结肠癌患者的临床资料进行回顾性研究。我们将这46例患者随机分为观察组和对照组,每组各有23例患者。我院对对照组患者进行开腹手术,对观察组患者进行腹腔镜手术。手术结束后,比较两组患者手术的时间、术中的出血量、清除淋巴结的数量和发生手术并发症的情况。结果:观察组患者手术的时间、术中的出血量和清除淋巴结的数量分别为172.8±20.3min、143.2±31.7ml和7.3±2.1个,对照组患者手术的时间、术中的出血量和清除淋巴结的数量分别为189.6±24.7min、204.5±48.2ml和8.4±2.6个。观察组患者手术的时间和术中的出血量均明显少于对照组患者,二者相比差异具有显著性(P<0.05)。两组患者手术中清除淋巴结的数量大体相同,二者相比差异无显著性(P>0.05)。观察组患者发生手术并发症的几率为8.7%,对照组患者发生手术并发症的几率为26.1%。观察组患者发生手术并发症的几率明显低于对照组患者,二者相比差异具有显著性(P<0.05)。结论:用腹腔镜手术治疗结肠癌效果好,患者手术的时间短,术中出血量少,发生手术并发症的几率低。此手术方法可作为治疗结肠癌的首选方法。
Objective: To compare the clinical effects of laparoscopic surgery and laparotomy in the treatment of colon cancer. Methods: The clinical data of 46 patients with colon cancer treated in our hospital from April 2012 to April 2013 were retrospectively studied. We randomly divided the 46 patients into observation and control groups, each with 23 patients in each group. In our hospital, the control group patients underwent laparotomy and the observation group patients underwent laparoscopic surgery. After surgery, the operation time, intraoperative blood loss, lymph node clearance and complications were compared between the two groups. Results: The operation time, intraoperative blood loss and lymph node clearance in the observation group were 172.8 ± 20.3min, 143.2 ± 31.7ml and 7.3 ± 2.1, respectively. The operation time, intraoperative blood loss and clearance in the control group The number of lymph nodes were 189.6 ± 24.7min, 204.5 ± 48.2ml and 8.4 ± 2.6, respectively. The operation time and intraoperative blood loss in the observation group were significantly less than those in the control group, the difference was significant (P <0.05). There was no significant difference in the number of lymph nodes removed between the two groups (P> 0.05). The incidence of surgical complications in the observation group was 8.7%, and the incidence of surgical complications in the control group was 26.1%. The incidence of operative complications in the observation group was significantly lower than that in the control group, the difference was significant (P <0.05). Conclusion: Laparoscopic surgery for the treatment of colon cancer is effective, patients with short operative time, less blood loss, the risk of complications is low. This surgical method can be used as the preferred method of treatment of colon cancer.