摘要
目的:探讨经肛标本取出术联合腹腔镜治疗直肠癌的临床效果及预后质量。方法:选取2018年10月30日-2019年4月1日笔者所在医院收诊的92例直肠癌患者,将其随机分为观察组(46例)与对照组(46例)。观察组采用经肛标本取出术联合腹腔镜治疗,对照组采用常规腹腔镜手术治疗,比较两组排气时间、下床活动时间、手术时间、疼痛评分、NE、E、Cor、并发症发生率。结果:观察组排气时间(79.18±5.37)h、下床活动时间(61.72±9.53)h、手术时间(116.38±16.58)min、疼痛评分(1.06±0.24)分、NE(101.78±7.16)ng/ml、E(97.95±8.06)ng/ml、Cor(181.24±11.42)ng/ml、并发症发生率4.35%,均优于对照组,差异有统计学意义(P<0.05)。结论:经肛标本取出术联合腹腔镜治疗直肠癌,可提高患者预后质量与治疗效果,值得推广使用。
Objective:To investigate the clinical effect and prognosis quality of rectal cancer treated by transanal specimen removal combined with laparoscopy.Method:A total of 92 patients with rectal cancer admitted in our hospital from October 30th,2018 to April 1st,2019 were selected.They were randomly divided into the observation group(46 cases)and the control group(46 cases).The observation group was treated with transanal specimen removal combined with laparoscopic surgery,while the control group was treated with conventional laparoscopic surgery.The exhaust time,time of getting out of bed,operation time,pain score,NE,E,Cor,and complication rate were compared between the two groups.Result:The exhaust time(79.18±5.37)h,time ofgetting out of bed(61.72±9.53)h,operation time(116.38±16.58)min,pain score(1.06±0.24)points,NE(101.78±7.16)ng/ml,E(97.95±8.06)ng/ml,Cor(181.24±11.42)ng/ml,and complication rate 4.35%were all better than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Transanal specimen removal combined with laparoscopy treatment for rectal cancer can improve the quality of prognosis and therapeutic effect of patients,which is worthy of popularization.
作者
袁继全
赵兰君
YUAN Jiquan;ZHAO Lanjun(Xiaogan Central Hospital,Xiaogan 432000,China)
出处
《中外医学研究》
2019年第34期162-164,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
预后
效果
经肛标本取出术
直肠癌
腹腔镜
内镜
Prognosis
Effect
Transanal specimen removal
Rectal cancer
Laparoscopy
Endoscopy
