腹腔镜与开腹直肠癌手术近期疗效对比研究.docVIP

腹腔镜与开腹直肠癌手术近期疗效对比研究 　　[摘要] 目的 探讨腹腔镜和开腹手术治疗直肠癌的效果。 方法 选择80例患者分为两组：对照组采用开腹手术治疗，实验组采用腹腔镜手术治疗，比较两组的手术时间、术中出血、术后肠功能恢复时间、术后住院时间及并发症。结果 实验组手术时间为（126.9±23.5）min，术中出血为（130±17.8）mL，和对照组相比差异不显著 （P0.05）；实验组患者术后（4.2±1.5）d肠道功能恢复，患者住院（18.2±3.3）d后出院，分别短于对照组（P0.05）；实验组并发症发生率为7.5%，低于对照组17.5%，差异具有显著性（P0.05）。 结论 直肠癌发病率较高，临床上采用腹腔镜治疗效果理想，能够提高临床治愈率，降低并发症发生率，值得推广使用。 　　[关键词] 腹腔镜；开腹手术；直肠癌；并发症发生率 　　[中图分类号] R735.37 [文献标识码] B [文章编号] 1673-9701（2015）01-0156-03 　　Laparoscopic and open colorectal cancer operation in the short term effect comparison research 　　LI Yanxiang 　　General Surgery，Yantai Zhifu Hospital in Shandong， Yantai 264000，China 　　[Abstract] Objective To investigate the clinical effect of laparoscopic and open operation for rectal cancer. Methods All 80 patients were randomly divided into two groups. The control group was treated with open surgery， the experimental group was treated with laparoscopy， operation time， intraoperative bleeding， postoperative intestinal function recovery time， postoperative hospitalization time and complications were compared. Results The operation time of experiment group was （126.9±23.5） min， intraoperative bleeding was （130±17.8） mL， compared with the control group had no difference （P0.05）； the recovery of intestinal function in experimental group was （4.2±1.5） d. In hospitalized time was （18.2±3.3） d after discharge，was shorter than the control group，the difference was significant （P0.05）； the experiment group after the treatment of 3 cases of complications， the incidence of complications was 7.5%， lower than that of the control group（7 cases of complications， the incidence rate of complication was 17.5%），the difference was significant（P0.05）. Conclusion With high incidence of rectal cancer and ideal treatment effect， laparoscopic can reduce the incidence of complications，improve the clinical cure rate， it is worth to promote use. 　　[Key words] Laparoscopy； Open operation； Rectal cancer； The incidence of complications 　　直肠癌是临床上比较常见的疾病，这种疾病机制