腹腔镜与开腹手术治疗结直肠癌术后肠梗阻效果对比分析.docVIP

腹腔镜与开腹手术治疗结直肠癌术后肠梗阻效果对比分析 　　[摘要] 目的 对比腹腔镜与开腹手术治疗结直肠癌术后肠梗阻的临床疗效。方法 该次研究随机抽取的90例结直肠癌患者其抽取时间为该院2015年6月―2016年10月期间，行腹腔镜治疗的45例患者设为观察组，行开腹手术治疗的45例患者设为对照组，待两组患者经上述两种方法治疗后比对其临床疗效。结果 观察组进行腹腔镜治疗以及对照组进行开腹手术治疗后，观察组和对照组左半结肠癌、右半结肠癌、直肠癌患者的住院用时、肛?T排气用时经软件对比后均差异有统计学意义，此外观察组患者术后肠梗阻发生率（6.66%）低于对照组患者术后肠梗阻发生率（22.22%），差异有统计学意义（P0.05）。结论 结直肠癌患者在临床治疗中选择腹腔镜进行治疗不会对患者产生较大的创伤，且术后恢复时间较短，此外能够显著降低肠梗阻的发生率。 　　[关键词] 腹腔镜；开腹手术治疗；结直肠癌；治疗效果 　　[中图分类号] R735 [文献标识码] A [文章编号] 1674-0742（2017）05（a）-0077-03 　　[Abstract] Objective To compare the clinical effect of laparoscopic and open surgery in the treatment of postoperative intestinal obstruction of colorectal cancer. Methods 90 patients with colorectal cancer were random selected for this study. From June 2015 to October 2016， 45 patients underwent laparoscopic treatment. The patients were treated with 45 Patients were set as the control group， two groups of patients by the above two methods after treatment than its clinical efficacy. Results The patients in the observation group and the control group were treated with laparoscopic treatment and the control group. After the patients were treated with laparotomy， the left and right colon cancer patients， rectal cancer patients and rectal cancer patients were observed（6.66%） was lower than that in the control group（22.22%）， and the incidence of intestinal obstruction was statistically significant.Conclusion Laparoscopic treatment of colorectal cancer patients in patients with colorectal cancer will not cause great trauma， and the recovery time is shorter， and the incidence of intestinal obstruction can be significantly reduced. 　　[Key words] Laparoscopy；Laparotomy；Colorectal cancer；Treatment effect 　　结直肠癌在临床中为一种恶性肿瘤，此病患病率近年来呈现上升趋势，该病的主要症状为发热、肠梗阻以及便血等[1]。由于疾病发生率的提升对患者的生命健康造成了严重的威胁。就目前而言，治疗结直肠癌的主要方法为手术，而腹腔镜手术由于对患者不会造成较大的创伤广泛应用于临床中[2]。该次研究主要比对腹腔镜与开腹手术治疗结直肠癌术后肠梗阻的临床疗效，随机抽取该院2015年6月―2016年10月期间收治的90例患者，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　该次研究随机抽取的90例结直肠癌患者，行腹腔镜治疗的45例患者设为观察组，男性患者和女性患者例数分别为29例，16例，年龄跨度为30～76岁，平均年