结直肠癌腹腔镜治疗直肠癌的效果和安全性研究.docVIP

结直肠癌腹腔镜治疗直肠癌的效果和安全性研究 　　[摘要] 目的 探讨结直肠癌腹腔镜治疗直肠癌的有效性和安全性。 方法 选取本院收治的48例直肠癌患者，随机分为对照组和观察组，对照组经开腹手术治疗，观察组经腹腔镜手术治疗。比较两组患者手术时间、术中出血量、术后胃肠功能恢复时间、住院时间和并发症发生率。 结果 观察组手术时间、术后胃肠功能恢复时间和住院时间均短于对照组，术中出血量少于对照组，两组比较差异有统计学意义（P0.05）；观察组并发症发生率为8.3%，显著低于对照组的33.3%（P0.05）。 结论 结直肠癌腹腔镜治疗直肠癌效果确切，安全性高，具有微创、术中失血少及术后恢复快等优点，值得临床推广应用。 　　[关键词] 腹腔镜；开腹；直肠癌；临床疗效 　　[中图分类号] R735.3+7 [文献标识码] A [文章编号] 1674-4721（2014）09（a）-0041-03 　　Study of effect and safety on laparoscopy in the treatment of colorectal cancer 　　MENG Wei-wen WANG Wen-qing ZHOU Chun-liu 　　Department of General Surgery，the Third Hospital of Jingdezhen City in Jiangxi Province，Jingdezhen 333001，China 　　[Abstract] Objective To investigate the clinical efficacy and safety of laparoscopy in the treatment of colorectal cancer. Methods 48 cases of patients with colorectal cancer in our hospital were selected and randomly divided into control group and observation group.The control group was treated with open surgery，the observation group was treated with laparoscopic surgery.The operative time，blood loss，postoperative gastrointestinal function recovery time，hospitalization time and incidence rate of complication in two groups was compared respectively. Results The operative time，postoperative gastrointestinal function recovery time and hospitalization time of observation group was significantly shorter than that of control group respectively，blood loss of observation group was significantly less than that of control group，with statistical difference（P0.05）.Incidence rate of complication in observation group was 8.3%，which was significantly lower than that in control group（33.3%）（P0.05）. Conclusion Laparoscopy in the treatment of colorectal cancer has exact effect and high safety.There are advantages including minimally invasive，less blood loss and faster postoperative recovery.It is worthy of clinical promotion and application. 　　[Key words] Laparoscopy；Laparotomy；Colorectal cancer；Clinical efficacy 　　直肠癌是消化道最常见的恶性肿瘤之一，发病率逐年升高，是指从齿