摘要
目的探究直肠癌患者接受腹腔镜以及传统开腹直肠癌手术治疗的效果以及对并发症的影响。方法将2017年1月-2019年5月直肠癌手术患者100例,根据其手术方案的不同分组,对照组传统开腹直肠癌根治术治疗,实验组腹腔镜直肠癌手术治疗,分析2组直肠癌患者治疗的结果。结果2组直肠癌患者淋巴结清扫数相比,无统计学意义(P>0.05);实验组手术用时、手术出血量、肛门排气时间、导管拔除时间、术后进食时间均低于对照组,自由尿流率高于对照组,P<0.05;2组术后IgM、IgG、IgA水平均较术前升高,P<0.05;实验组术后IgM、IgG、IgA水平高于对照组,P<0.05;2组术后胃泌素、胃动素水平均低于术前,P<0.05;实验组术后胃泌素、胃动力素水平高于对照组,P<0.05;实验组直肠癌患者的并发症发生率为4.00%,低于对照组并发症发生率22.00%,差异有统计学意义(P<0.05)。结论直肠癌患者接受腹腔镜与传统开腹直肠癌手术治疗均可获得一定的效果,其中腹腔镜下直肠癌手术的治疗,不仅能够保证治疗的结果,且可减少并发症的发生几率,意义重大。
Objective To explore the effect of laparoscopy and traditional open surgery for rectal cancer and its influence on complications.Methods 100 patients who were treated with rectal cancer surgery from January 2017 to may 2019 were chosen as subjects.All patients were divided into two groups according to the different operative plans.The control group was treated with traditional open radical resection,while the experimental group was treated with laparoscopic surgery.The results between two groups were analyzed.Results There was no statistical significance in number of dissected lymph nodes between the two groups(P>0.05).The operation time,bleeding volume,anal exhausting time,catheter removal time and postoperative feeding time in the experimental group were lower than those in the control group,and the free urine flow rate was higher than that in the control group(P<0.05).The levels of Ig M,Ig G and Ig A before operation in two groups were higher than those after operation(P<0.05).The levels of Ig M,Ig G and Ig A in the experimental group were higher than those in the control group.The levels of gastrin and motilin in the experimental group was higher than those in the control group(P<0.05).The incidence of complications in the experimental group was 4.00%,which was lower than that in the control group(22.00%,P<0.05).Conclusion Laparoscopy and traditional open surgery for patients with rectal cancer both can achieve certain results.But laparoscopic surgery for rectal cancer can not only ensure the effects of treatment,but also control the occurrence of complications,so it has better significance.
作者
李小乐
庞大森
LI Xiao-le;PANG Da-sen(Korla Hospital,the Second Division of Xinjiang Production and Construction Corps,Korla,Xinjiang 841000,China)
出处
《新疆医学》
2021年第7期811-813,810,共4页
Xinjiang Medical Journal
关键词
腹腔镜
直肠癌
开腹手术
并发症
Laparoscopy
Rectal cancer
Laparotomy
Complications
