腹腔镜与开腹手术治疗直肠癌恶性肿瘤84例对比研究.docVIP

腹腔镜与开腹手术治疗直肠癌恶性肿瘤84例对比研究 　　[摘要] 目的 ?Ω骨痪凳质鹾涂?腹手术在直肠癌恶性肿瘤方面的治疗效果进行对比分析。方法 整群选取该院2015年9月―2017年4月收治的84例直肠癌恶性肿瘤患者为研究对象，随机分为对照组与观察组。其中对照组42例，采用开腹手术治疗，观察组42例，采用腹腔镜治疗。对两组患者住院时间、手术时间、术中出血量及不良反应进行观察和对比。 结果 观察组平均住院时间（6.8±2）d，术中出血量（69±21）mL，平均手术时间（153±36）min；对照组平均住院时间（12.4±3）d，术中出血量（146±35）mL，平均手术时间（204±41）min；与对照组相比，观察组的平均手术时间与平均住院时间要明显低一些，两组差异有统计学意义（P0.05）；观察组术中出血量明显低于对照组，两组差异有统计学意义（P0.05）；观察组无切口感染，概率为0.0%，对照组7例切口感染，概率为16.7%；观察组切口感染率明显低于对照组，两组差异有统计学意义（P0.05）。 结论 将腹腔镜手术应用于直肠癌恶性肿瘤治疗，能够有效缩短住院时间和手术时间，降低术中出血量和术后不良反应，值得院方推广。 　　[关键词] 直肠癌；腹腔镜手术；开腹手术 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）10（c）-0045-03 　　Comparative Analysis of Laparoscopic and Open Surgery for 84 Cases of Gastrointestinal Malignant Tumor 　　WANG Jin-zhou1， ZHENG Wei1， XU Bi-shuang2， WANG Zhi-wei1 　　1.Department of Gastrointestinal Surgery， Section Two， the First Hospital Affiliated to Fujian Medical University， Fuzhou， Fujian Province， 350000 China； 2.Department of Pharmacy， the First Hospital Affiliated to Fujian Medical University， Fuzhou， Fujian Province， 350000 China 　　[Abstract] Objective This paper tries to compare and analyze the curative effect of laparoscopic surgery and open surgery in the treatment of rectal maglignant cancer. Methods 84 cases of rectal maglignant cancer patients treated in this hospital from September 2015 to April 2017 were selected as the study subjects. The patients were randomly divided into the control group and the observation group. 42 cases in the control group were treated with the open surgery and 42 cases in the observation group were treated with the laparoscopic surgery. The hospitalization time， operation time， intraoperation blood loss and adverse reactions were observed and compared between the two groups. Results The average hospital stay was（6.8±2）days in the observation group， the intraoperative blood loss of（69±21）mL， the average operation time of（153±36） minutes； the average hospital stay in the control group was（12.4±3）days， intraoperative blood loss of（