摘要
目的对比研究腹腔镜与传统开放手术治疗直肠癌的临床效果.方法随机选取 2012 年 1 月到 2013 年 1 月入住我院接受治疗的直肠癌患者86例,根据其临床治疗方式的不同随机均分为研究组和对照组,43例对照组患者通过传统开放手术进行治疗,43例研究组患者通过腹腔镜手术进行治疗,对比两组患者术中、术后观察指标以及临床治疗效果差异.结果研究组患者手术时间、术后肺部感染、肠梗塞以及肠漏等并发症发生率与对照组相比差异不显著（P〉0.05）,而术中失血量、伤口切口长度以及排气时间等各种观察指标均显著优于对照组患者（P〈0.05）,术后引流时间、VAS评分、下床活动时间以及术后住院时间均低于对照组患者（P〈0.05）,术后切口感染并发症发生率显著低于对照组患者（P〈0.05）,术后三年存活率为94.29%,显著高于对照组患者85.71%的存活率（P〈0.05）.结论与传统开放手术治疗直肠癌患者相比,腹腔镜手术治疗对患者创伤更小、术后恢复更快、切口感染率更低以及术后三年存活率更高等优点.
objectiveto contrast study the clinical effect of laparoscopic and traditional open surgery for colorectal cancer. Methodsrandomly selected from January 2012 to January 2013 in our hospital treated 86 cases of patients with rectal cancer, according to the clinical treatment of different random divided into research group and the control group, 43 cases of control group patients treated by traditional open surgery, 43 patients with team by laparoscopic surgery treatment, compared two groups of patients with intraoperative and postoperative observation indexes and clinical therapeutic effect. Resultsteam operation time, postoperative pulmonary infection, patients with intestinal infarction, and incidence of complications such as intestinal leakage no significant difference compared with the control group （P 〉 0.05）, and intraoperative blood loss, wound incision length and exhaust time tree species such as observation indexes were significantly better than the control group patients （P 〈 0.05）, postoperative drainage time, VAS score, ambulation time and postoperative hospital stay were lower than the control group （P 〈 0.05）, postoperative incision infection patients with complication rate was significantly lower than control group （P 〈 0.05）, postoperative 3 year survival rate was 94.29%, significantly higher than control group in patients with a 85.71% survival rate （P 〈 0.05）. Conclusioncompared with the traditional open surgery for colorectal cancer patients, laparoscopic surgery for patients with less trauma, faster postoperative recovery, incision infection rate and lower postoperative 3 year survival rate is higher, etc.
出处
《湖南中医药大学学报》
CAS
2016年第A01期44-44,共1页
Journal of Hunan University of Chinese Medicine
关键词
腹腔镜手术
传统开放手术
直肠癌
临床疗效
laparoscopic surgery
The traditional open surgery. Rectal cancer
Clinical curative effect
