开腹直肠癌根治术与腹腔镜直肠癌手术治疗直肠癌老年患者临床疗效及安全性探析.docVIP

开腹直肠癌根治术与腹腔镜直肠癌手术治疗直肠癌老年患者临床疗效及安全性探析 　　[摘要] 目的 研究和分析采用?_腹和腹腔镜手术来治疗老年人直肠癌的临床效果和疗效安全性。方法 方便选取该院2015年2月―2016年2月收治的直肠癌老年患者64例，将其分成各32例的治疗组和参照组，治疗组以腹腔镜直肠癌根治术治疗，参照组以开腹直肠癌根治术治疗，比较两组疗效和并发症发生情况。结果 治疗组患者术中出血量为（120.3±19.6）mL、术后排气时间为（2.7±0.3）d、和进食固体时间（4.0±0.3）d、导尿管留置天数为（3.1±0.4）d和淋巴结清除个数（13.6±3.0）个，参照组分别为（398.7±37.9）mL、（5.0±6.1）d、（5.3±0.4）d、（5.7±0.7）d和（5.0±3.4）个，两组间除手术时间外差异有统计学意义（P0.05）；两组并发症发生率分别为3.12%和12.50%，差异有统计学意义（P0.05）；治疗组局部复发率、远处转移率、切口疝发生率、黏连性肠梗阻分别为15.62%、21.87%、0.00%和12.50%，而参照组分别为18.75%、25.00%和3.12%、25.00%，其中切口疝和黏连性肠梗阻发生率差异有统计学意义（P0.05）。结论 采用腹腔镜直肠癌根治术治疗的效果优于开腹手术，疗效安全。 　　[关键词] 开腹直肠癌根治术；腹腔镜直肠癌手术；直肠癌 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）03（b）-0054-03 　　[Abstract] Objective To research and analyze the clinical curative effect and safety of open radical resection and laparoscopic rectal radical excision in treatment of senile patients with rectal carcinoma. Methods 64 cases of senile patients with rectal carcinoma admitted and treated in our hospital from February 2015 to February 2016 were selected and divided into two groups with 32 cases in each， the treatment group were treated with laparoscopic rectal radical excision， while the control group were treated with open radical resection， and the curative effect and occurrence of complications were compared between the two groups. Results The differences in the intraoperative bleeding amount， postoperative exhaust time， solid eating time， indwelling catheter day and lymphonodus cleaning number between the treatment group and the control group had statistical significance[（120.3±19.6）ml， （2.7±0.3）d， （4.0±0.3）d， （3.1±0.4）d，（13.6±3.0） vs （398.7±37.9）mL，（5.0±6.1）d，（5.3±0.4）d，（5.7±0.7）d and（5.0±3.4）]（P0.05）， and the difference in the incidence rate of complications between the treatment group and the control group had statistical significanc（P0.05），and the local recurrence rate， distance metastasis rate， incidence rate of incisional hernia and adhesive intestinal obstruction was respectively 15.62%，21.87%，0.00% and