腹腔镜联合结肠镜在结直肠肿瘤手术中的应用效果评价.docVIP

腹腔镜联合结肠镜在结直肠肿瘤手术中的应用效果评价 　　【摘要】 目的 探讨腹腔镜联合结肠镜在结直肠肿瘤手术中的应用效果。方法 60例行结直肠肿瘤手术患者， 随机分为观察组和对照组， 各30例。观察组采用腹腔镜联合结肠镜手术治疗， 对照组采用腹腔镜手术治疗。对比两组临床疗效。结果 观察组术中出血量、引流管留置时间和住院时间显著少于对照组， 差异具有统计学意义（P0.05）。观察组肿瘤下极距结肠残端距离和切除肠管长度均显著短于对照组， 平均肿瘤数量显著多于对照组， 差异具有统计学意义（P0.05）。观察组吻合口相关并发症发生率为0， 显著低于对照组的16.67%， 差异具有统计学意义（P0.05）。结论 结直肠肿瘤手术中应用腹腔镜联合结肠镜可以有效减少术中出血量， 缩短住院时间， 精确定位病灶， 值得临床推广。 　　【关键词】 结直肠肿瘤；手术；腹腔镜；结肠镜 　　DOI：10.14163/j.cnki.11-5547/r.2016.30.008 　　【Abstract】 Objective To investigate application effect of laparoscope combined with colonoscope in colorectal neoplasms surgery. Methods A total of 60 patients with colorectal neoplasms were randomly divided into observation group and control group， with 30 cases in each group. The observation group received laparoscope combined with colonoscope for treatment， and the control group received laparoscope in surgery. Clinical effects were compared between the two groups. Results The observation group had obviously less intraoperative bleeding volume， drainage tube indwelling time and hospital stay time than the control group， and the difference had statistical significance （P0.05）. The observation group had much shorter distance between neoplasms lower side and colon nub end， intestinal tube removal length， and more mean neoplasms time than the control group. Their difference had statistical significance （P0.05）. The observation group had incidence of anastomotic stoma related complications as 0， which was much lower than 16.67% in the control group. Their difference had statistical significance （P0.05）. Conclusion Implement of laparoscope combined with colonoscope in colorectal neoplasms surgery can effectively reduce intraoperative bleeding volume， shorten hospital stay time and accurately locate lesion. It is worth clinical promotion. 　　【Key words】 Colorectal neoplasms； Surgery； Laparoscope； Colonoscope 　　结直肠肿瘤是消化系统常见肿瘤， 具有较高的发病率。病理活检和结肠镜检查是检查直肠肿瘤的最佳方法， 但仅限于肠腔内， 对于基底较宽、息肉较大者， 结肠镜下切除易导致穿孔、出血， 效果欠佳[1]。腹腔镜技术已被广泛应用于临床， 但存在小病灶发现率低、缺乏触觉和定位效