探讨腹腔镜直肠癌根治术与开腹直肠癌根治术的临床疗效.docVIP

精品论文 参考文献 探讨腹腔镜直肠癌根治术与开腹直肠癌根治术的临床疗效 五常市人民医院 150200 【摘 要】目的：研究分析腹腔镜直肠癌根治术与开腹直肠癌根治术在治疗直肠癌中的临床效果。方法：此次研究的对象是选取2012年1月-2014年12月笔者所在医院收治的58例直肠癌患者。其中行腹腔镜直肠癌根治术患者26例作为腹腔镜组，行传统开腹直肠癌根治术患者32例作为对照组，比较两组患者的各项指标。结果：腹腔镜组术中出血量少于对照组，术后排气时间为（2.3plusmn;0.5）d，进食时间为（4.2plusmn;1.0）d，住院时间为（11.5plusmn;2.9）d，均短于对照组，差异均有统计学意义（Plt;0.05）；腹腔镜组手术用时（180.4plusmn;50.7）min明显长于对照组的（132.5plusmn;33.1）min，差异有统计学意义（Plt;0.05）；腹腔镜组并发症发生率为7.69%，低于对照组的31.25%，差异有统计学意义（Plt;0.05）；腹腔镜组的肠管切除长度和淋巴结清扫数量与对照组比较，差异均无统计学意义（Pgt;0.05）；随访0.5～3年两组患者局部复发率和远处转移率比较，差异均无统计学意义（Pgt;0.05）。结论：腹腔镜直肠癌根治术治疗直肠癌疗效确切，并且术中出血量较少、术后康复速度快、住院时间短，在临床应用上具有良好的安全性与可行性。 　　【关键词】腹腔镜直肠癌根治术；开腹直肠癌根治术；临床疗效 [Abstract] Objective：To study the clinical effect of laparoscopic radical resection of rectal cancer and open radical resection of rectal cancer in the treatment of rectal cancer. Methods：the object of this study was to select 58 patients with rectal cancer who were admitted in our hospital from January 2012 to December，. Among them，26 cases were treated by laparoscopic radical resection of rectal cancer as the laparoscopic group，32 cases were treated as the control group，the indexes of the two groups were compared. Results：the laparoscopic group of intraoperative bleeding was less than the control group，postoperative exhaust time（2.3 + 0.5）d，eating time for（4.2 + 1）d，hospitalization time was（11.5 + 2.9）d，were shorter than the control group，the differences were statistically significant（Plt;0.05）；the time of surgery（laparoscopic group 180.4 + 50.7）min was significantly longer than the control group（132.5 + 33.1）min，the difference was statistically significant（Plt;0.05）；the complications of laparoscopic group，the incidence rate of 7.69%，lower than 31.25% in the control group，the difference was statistically significant（Plt;0.05）；the laparoscopic group of bowel resection and lymph node dissection length number compared with the control group，the difference there was no statistical significance（Pgt;0.05）；0.5 ~ 3 years follow-up of two groups of pati