摘要
目的:通过比较传统开腹手术和腹腔镜辅助下手术治疗低位直肠癌的疗效,探讨哪种手术方式疗效更好,总结其特点及临床使用价值。方法:以低位直肠癌患者共80例为研究对象,实验分传统开腹手术组和腹腔镜辅助下手术组,从患者性别年龄术前临床分期、TNMⅢ期的保肛率、手术时间、术中出血量、术后肠功能恢复时间、术后吻合口并发症、住院天数及费用、术后排便功能、术后复发及转移等方面进行对比分析,总结其特点及临床使用价值。结果:在术前TNMⅢ期的保肛率、术中出血量、术后肠功能恢复时间、术后住院费用、术后排便功能方面,腹腔镜组与开腹组差异有统计学意义(P<0.05);在性别年龄术前临床分期、手术时间、术后并发症、术后复发及转移方面,腹腔镜组与开腹组差异无统计学意义(P>0.05)。结论:腹腔镜辅助下手术治疗低位直肠癌具有良好的安全性和可靠性,值得临床广泛推广。
Objective To discuss on which was the more effective surgical procedures in treating low rectal cancer and summarize their features and clinical application value by comparative study on the efficacy of traditional open sugery and laparoscopic-assisted rectal surgery on treating low rectal cancer.Method This study included a total of 80 patients with low rectal cancer admitted to this hospital.They were divided into two groups：a traditional open surgery group and a laparoscopic-assisted surgery group.Comparative analysis was done in respect of age and gender of the patients,clinical stage before surgery,anal sphincter preservation rate,operative time,intraoperative blood loss,restoration time of intestinal function after surgery,incidence of anastomotic complications,hospital stay and cost,bowel function after surgery,postoperative recurrence and metastasis to summarize the features and clinical application value of both surgeries.Results Sphincter preservation rate in the preoperative TNMⅢperiod,blood loss,postoperative intestinal function recovery time,postoperative hospital costs and postoperative bowel function,there was statistical differences between the laparoscopic group and open group（P〈0.05）;in the clinical stage,operative time,postoperative complications,recurrence and metastasis before sex and age,laparoscopic group and open group,no significant difference（P〉0.05）.Conclusion Aparoscopic-assisted surgery deserves extensive clinical expansion as it features good safety and reliability in treating low rectal cancer.
出处
《吉林医学》
CAS
2017年第4期626-630,共5页
Jilin Medical Journal
关键词
低位直肠癌
手术方式
疗效比较
Low rectal cancer
Operation modes
Comparison of the effects
