腹腔镜直肠全系膜切除术治疗中低位直肠癌临床疗效分析.docVIP

腹腔镜直肠全系膜切除术治疗中低位直肠癌临床疗效分析 　　[摘要] 目的 分析腹腔?R直肠全系膜切除术治疗中、低位直肠癌的临床疗效。方法 随机抽取2005年3月―2010年5月在该院接受治疗的30例患者作为开腹组，给予开腹手术。随机抽取2011年3月―2017年5月在该院接受治疗的30例患者作为腹腔镜组，给予腹腔镜手术。比较两组患者直肠全系膜切除术中，术后及并发症发生情况。 结果 腹腔镜中保肛术中出血量为（169.36±106.96）mL，不保肛术中出血量为（180.65±153.22）mL明显低于开腹组的保肛出血量（209.65±186.65）mL，不保肛出血量（356.54±170.32）mL。腹腔镜患者术中出血量明显少于开腹组，差异有统计学意义（t=2.95、2.87，P0.05）。腹腔镜组患者肠道功能恢复时间为（2.11±1.82）d明显短于开腹组（4.63±1.52）d；腹腔镜组患者术后住院时间为（11.32±10.01）d明显短于开腹组（26.62±12.43）d。腹腔镜组患者肠道功能恢复时间以及术后住院时间均短于开腹组，组间差异有统计学意义（t=2.31、2.43，P0.05）；腹腔组并发症发生率为20.00%明显低于开腹组66.67%，开腹组患者直肠全系膜切除术后并发症明显多于腹腔镜患者，组间差异有统计学意义（χ2=13.30，P0.05）。结论 为患者选择腹腔镜直肠全系膜切除治疗中、低位直肠癌更加安全，可作为可靠治疗方案。 　　[关键词] 腹腔镜；直肠全系膜切除术；中、低位直肠癌 　　[中图分类号] R735 [文献标识码] A [文章编号] 1674-0742（2018）03（b）-0010-04 　　Analysis of Clinical Curative Effect of Laparoscopic Rectal Total Mesorectal Excision in the Treatment of Medium and Low Rectal Cancer 　　JIANG Du-jun， ZHANG Yue， MENG Chuang 　　Department of Gastrointestinal Surgery， Xuzhou Tumor Hospital， Xuzhou， Jiangsu Province， 221005 China 　　[Abstract] Objective To analyze the clinical curative effect of laparoscopic rectal total mesorectal excision in the treatment of medium and low rectal cancer. Methods 30 patients treated in our hospital from March 2005 to May 2010 were randomly selected as laparotomy group. 30 patients treated in our hospital from March 2011 to May 2017 were randomly selected as laparoscopy group. The incidence rate of intraoperative and postoperative complications were compared between the two groups. Results The intraoperative bleeding amount in the anus-preserving operation and in the non- anus-preserving operation were obviously lower than those in the laparotomy group[（169.36±106.96）mL， （180.65±153.22）mL vs （209.65±186.65）mL， （356.54±170.32）mL]， the intraoperative bleeding amount in the laparoscopic group was significantly lower than that in the control group， the difference was statistically significant（t=2.95、2.87，P0.05）， and the intestinal canal recovery time in the laparoscopic grou