结肠癌应用腹腔镜和开腹手术治疗的效果对比.docVIP

精品论文 参考文献 结肠癌应用腹腔镜和开腹手术治疗的效果对比 岳阳市二人民医院普外三科 湖南岳阳 414000 【摘 要】目的：对比结肠癌应用腹腔镜和开腹手术治疗的效果。方法：回顾性分析86例结肠癌患者的临床资料，其中43例患者采取腹腔镜手术治疗，作为观察组；另外43例患者采取开腹手术治疗，作为对照组；对比两组患者的疗效观察指标、手术安全性观察指标。结果：经chi;2检验或t检验，两组患者切除肿瘤大小、淋巴结清扫数目、局部复发率及远处转移率差异均无统计学意义（P＞0.05）；观察组患者的术中出血量少于对照组，切口长度、胃肠道恢复时间、住院时间均短于对照组，并发症发生率小于对照组，经chi;2检验或t检验，差异具有统计学意义（P＜0.05）。结论：腹腔镜与开腹手术治疗结肠癌的效果相当，但前者对患者的创伤性小、安全性高、术后恢复快，值得临床推广使用。 【关键词】结肠癌；腹腔镜手术；开腹手术 Comparative effects of laparoscopic and open colon surgery XuYangrong Yueyang Second City Peoples Hospital General Surgery three subjects HunanYueyang 414000 [Abstract]Objective：To compare laparoscopic and open surgery colon cancer treatment effect.Methods：We retrospectively analyzed the clinical data of 86 cases of colon cancer patients，including 43 patients taking laparoscopic surgery，as the observation group; another 43 patients were taken to open surgery，as the control group; comparative efficacy parameters between two groups of patients，surgical safety were observed.Results：The chi;2 test or t test，two groups of patients resection of the tumor size，number of lymph node dissection，the rate of local recurrence and distant metastasis rate was no significant difference（Pgt;0.05）; the observation group of patients with less blood loss in the control group，the length of the incision，gastrointestinal recovery time and hospital stay were shorter than the control group，the complication rate is less than the control group，chi;2 test or t test，the difference was statistically significant（Plt;0.05）.Conclusion：laparoscopic and open surgery for colon cancer quite effective，but the former is less invasive to the patient，safe，quick recovery，worthy of clinical use. Keywords：colon cancer; laparoscopic surgery; laparotomy 结肠癌作为临床常见的消化道恶性肿瘤，发病率逐年递增，而手术切除仍作为治疗结肠癌的有效根治方法[1]。在临床上，结肠癌的手术治疗方法以开腹手术为主，开腹手术作为治疗结肠癌的效果确切，但对患者的创伤性较大，手术安全性及预后的影响因素较为复杂。对此，寻找新的治疗方法，在保证临床疗效的基础上，最大限度降低创伤性，对于提高结肠癌患者的治疗质量具有重要作用。近年来，临床普遍接受腹腔镜手术治疗结肠癌，其疗效得到广泛认可，个别病例的疗效甚至优于开腹手