摘要
目的探讨微创腹腔镜与开腹手术联合快速康复技术（FTS）治疗直肠癌的临床价值。方法选取2010年2月~2015年2月来我院治疗直肠的160例患者作为研究对象,根据治疗方式将其分为A组（传统开腹手术）、B组（传统开腹手术＋FTS治疗）、C组（腹腔镜手术）和D组（腹腔镜术＋FTS治疗）,每组40例。比较4组的手术相关指标、应激指标及术后并发症发生率。结果 C、D组患者的手术时间明显长于A、B组,A、B组的术中出血量明显多于C、D组,切口长度明显长于C、D组（P〈0.05）;A组的首次排气时间、下床活动时间、住院时间均长于B、C、D组（P〈0.05）。术后7 d,C、D组的白介素-6低于A、B组,D组的C-反应蛋白、白细胞低于A组（P〈0.05）。A、B、C、D组患者并发症发生率分别为15%、10%、10%、7.5%,4组差异无统计学意义（P〉0.05）。结论微创腹腔镜与开腹手术联合快速康复技术在直肠癌治疗中有积极的临床应用价值,值得推广。
Objective To explore the clinical value of minimally invasive laparoscopy and laparotomy combined with fast track surgery （FTS） in the treatment of rectal cancer. Methods From February 2010 to February 2015,160 patients with rectal cancer were selected as research objects.According to different therapeutic method,they were evenly divided into group A （traditional laparotomy）,group B （traditional laparotomy＋FTS）,group C （laparoscopy）,and group D （la- paroscopy＋Fl＇S）.The indexes related to surgery,stress indexes and incidence rate of postoperative complication among 4 groups was compared respectively. Results The operation time in group C and D was obviously longer than that in group A and B,and the intraoperative amount of bleeding in group A and B was obviously more than that of group C and D,and length of incision in group A and B was obviously longer than that of group C and D （P〈0.05）;the first ex- haust time,bed time,length of stay in A group were longer than those of B, C, D group （P〈0.05）.The first exhaust time, leaving bed time,hospital stay in A group was longer than those of group B,C and D respectively （P〈0.05）.After 7 days operation,interleukin-6 of group C and D was lower than that of group A and B,C- reactive protein and white blood cell of group D was lower than that of group D （P〈O.O5）.Incidence rate of group A,B,C and D Was 15%,10%,10%,7.5% respectively,and there was no statistical difference among 4 groups （P〉0.05）. Conclusion Minimally invasive la- paroscopy and laparotomy combined with FTS has a positive application value in clinic in the treatment of rectal can- cer, and it is worthy of promotion.
出处
《中国当代医药》
2015年第26期55-57,共3页
China Modern Medicine
关键词
直肠癌
微创腹腔镜
开腹手术
快速康复技术
Rectal cancer
Minimally invasive laparoscopy
Laparotomy
Fast track surgery
