腹腔镜手术与传统根治术治疗结直肠癌的效果对比.docVIP

腹腔镜手术与传统根治术治疗结直肠癌的效果对比 [摘要] 目的 对比分析腹腔镜手术和传统根治术治疗结直肠癌的临床效果。 方法 收集本院2011年9月～2014年10月诊治的结直肠癌需手术切除患者88例，随机分为观察组与对照组，每组各44例，观察组采用腹腔镜术治疗，对照组采用传统根治术治疗，比较两组术中、术后各项指标情况以及术后并发症发生率、局部复发率、远处转移率。 结果 两组手术时间比较差异无统计学意义（P 0.05），观察组术中出血量、需输血例数、切口长度、术后吗啡用量、术后进食时间、肛门排气时间、术后住院时间均显著小于对照组（P 0.05），观察组术后血红蛋白浓度显著高于对照组（P 0.05）；观察组总并发症发生率、局部复发率、远处转移率均低于对照组，差异均有统计学意义（P 0.05）。 结论 腹腔镜手术治疗结直肠癌的临床效果较好，具有手术各项指标好、术后并发症发生率低、局部复发率低和远处转移率低等优点，优于传统根治术。 [关键词] 腹腔镜手术；传统根治术；结直肠癌 [中图分类号] R737.33 [文献标识码] A [文章编号] 1674-4721（2015）07（b）-0054-03 [Abstract] Objective To compare the clinical effect of the laparoscopic surgery and traditional radical resection in treatment of colorectal cancer. Methods 88 cases of colorectal cancer patients from September 2011 to October 2014 in our hospital were randomly divided into the observation group and the control group，each of 44 cases.The observation group was treated with laparoscopic surgery，while the control group was treated with traditional radical resection.After surgery，the indicators in and after the operation，the postoperative complications，local recurrence and distant metastasis were compared between two groups. Results There was no statistical difference of the operation time in the two groups （P 0.05），the amount of bleeding，numbers to transfuse，incision length，the dosage of morphine，time to start feed，the anus exhaust time，hospital stays of the observation group were significantly less than those of the control group（P 0.05），the postoperative hemoglobin of the observation group was significantly higher than that of the control group（P 0.05），the incidence rate of complication，local recurrence，and distant metastasis in the observation group were lower than those of the control group，the differences were statistically significant （P 0.05）. Conclusion Laparoscopic surgery in treatment of colorectal cancer has exact effect，and it has advantages of better operation of various indicators，lower rate of complication，lower rate of local recurrence and distant metastasis，a