腹腔镜结直肠癌根治术治疗结直肠癌的临床效果.docVIP

腹腔镜结直肠癌根治术治疗结直肠癌的临床效果 　　[摘要] 目的 探讨腹腔镜结直肠癌根治术治疗结直肠癌的临床效果。 方法 选取本院2014年2月～2015年2月收治的80例结直肠癌患者的临床资料，随机分为治疗组与对照组，各40例。治疗组行腹腔镜结直肠癌根治术治疗，对照组行开腹结直肠癌根治术治疗，对比两组患者的临床疗效。 结果 治疗组的术中出血量明显少于对照组，首次排气时间、进食时间、下床活动时间、住院时间均短于对照组（P0.05）；治疗组的感染、吻合口瘘、肺内感染等并发症发生率、远处转移率明显低于对照组，差异有统计学意义（P0.05）。 结论 腹腔镜结直肠癌根治术具有创伤小、出血量少、住院时间短等优势，可促进胃肠功能恢复，值得临床推广。 　　[关键词] 腹腔镜；开腹手术；结直肠癌根治术 　　[中图分类号] R735.3 [文献标识码] A [文章编号] 1674-4721（2015）09（b）-0058-03 　　Clinical effect of laparoscopic radical resection of colorectal cancer treating colorectal cancer 　　YU Wei 　　Department of General Surgery，the First People′s Hospital of Yangzhou City in Jiangsu Province，Yangzhou 225001，China 　　[Abstract] Objective To investigate the clinical effect of laparoscopic radical resection colorectal cancer treating colorectal cancer. Methods From February 2014 to February 2015，clinical data of 80 patients with colorectal cancer were selected from our hospital.Patients were randomly divided into treatment group （n=40） and control group （n=40）.Treatment group was treated with laparoscopic radical resection of colorectal cancer while control group was undergone open radical resection of colorectal cancer.The clinical curative effect was compared between two groups. Results The intra-operative blood loss in treatment group was less than that of control group，and the first exhaust time，diet intaking time，leaving bed time and hospital stay in treatment group was shorter than that of control group respectively （P0.05）.The incidence rate of complication such as infection，anastomotic fistula，pulmonary infection and so on and the rate of distant metastasis was significantly lower than that of control group respectively，and there was a statistical difference （P0.05）. Conclusion Laparoscopic resection of colorectal cancer has the advantages of less trauma，less bleeding，shorter hospitalization time and so on，and it can promote gastrointestinal function recovery.It is worthy of clinical promotion. 　　[Key words] Laparoscope；Open operatio