腹腔镜直肠癌无瘤技术手术配合的临床意义分析.docVIP

腹腔镜直肠癌无瘤技术手术配合的临床意义分析 　　摘要：目的 探究腹腔镜直肠癌无瘤技术手术配合的临床意义。方法 将120例直肠癌患者作为观察对象，选取的患者入院时间均在2014年6月～2016年6月。采用随机抽签法将观察对象分为A、B两组，每组中60例患者。A组患者采用腹腔镜手术来进行治疗，术中严密配合无瘤技术；B组患者采用常规开腹手术治疗。分别观察两组患者的疗效和并发症发生情况，并在两组间进行比较，分析腹腔镜直肠癌无瘤技术手术配合的临床意义。结果 将A组与B组相比，A组中患者的手术时间更短、手术切口更小，并且患者的卧床时间也更短，二者间进行比较得出的结果具有显著性差异（P0.05）；同时，A组中出现并发症的患者有3例，占5.0%，B组中出现并发症的患者有18例，占30.0%，两组的并发症发生率比较得出的差异显著（χ2=12.9870；P0.05）。结论 对结直肠癌患者采用腹腔镜手术来进行治疗，并在术中严密配合无瘤技术，能够有效改善患者的病情，整体的治疗效果理想，患者出现并发症的情况也较少，治疗的安全性和可行性较高，值得在临床推广应用。 　　关键词：腹腔镜；直肠癌；无瘤技术；手术配合；临床意义 　　Abstract：Objective To investigate the clinical significance of laparoscopic colorectal cancer surgery without tumor. Methods 120 cases of rectal cancer patients as the observation object， the patients were admitted to hospital in June 2014 ～2016.The subjects were randomly divided into A，B two groups，each group of 60 patients.The patients in group A were treated with laparoscopic surgery，and the operation was performed with B technique. The efficacy and complications of the two groups were observed and compared between the two groups to analyze the clinical significance of laparoscopic colorectal cancer surgery. Results Compared to A group and B group， shorter operation time，patients in the A group and the patients with smaller incision，bed time is shorter，compared the results with a significant difference between the two（P0.05）；at the same time，complications of patients in A group had 3 cases，accounting for 5% complications，patients in B group had 18 cases，accounting for 30%，two group of comparison differences in complication rate significantly （X2=12.9870；P0.05）. Conclusion For patients with colorectal cancer treated by laparoscopic surgery for treatment， and the tumor free technology closely cooperate in operation， can effectively improve the patients condition， the ideal overall curative effect， patients with complications are rare， the safety and feasibility of high treatment， worthy of clinical application. 　　Key words：Laparoscopy；Rectal cancer；Tumor free tech