摘要
目的探究腹腔镜下直肠癌手术治疗老年直肠癌患者的疗效以及安全性。方法选取2016-02—2017-02收治的116例老年直肠癌患者临床资料进行分析,将其依据术式不同分成对照组(58例)与研究组(58例),对照组行开腹手术,研究组行腹腔镜下手术,比较两组T细胞亚群水平、并发症情况与生活质量评分。结果研究组治疗后CD_3^+(54.79±4.05)%、CD_4^+(30.13±2.16)%均显著高于对照组,差异比较具统计学意义(P<0.05),CD_8^+(29.52±2.58)%较对照组低(P<0.05);研究组并发症总发生率6.89%较对照组显著低,差异比较具有统计学意义(P<0.05);研究组生活质量评分为(8.64±3.36)分与对照组的(6.21±2.89)分相比显著高,比较差异具有统计学意义(P<0.05)。结论直肠癌老年患者应用腹腔镜下直肠癌手术治疗安全性较高,可促进疗效提升、预后改善。
Objective To investigate the curative effect and safety of laparoscopic surgery for rectal cancer in el- derly patients.Methods 116 cases of elderly patients with rectal cancer from February 2016 to February 2017 were analyzed retrospectively and divided into the control group （58 cases）and the study group （58 cases） according to different surgical methods.The control group underwent open surgery while the study group laparoscopic surgery.The T cells subsets, complications and the life quality scores were compared between the two groups. Results The results of CD3＋（54.79 ± 4.05）%, CDZ（30.13 ± 2.16）% of the study group after treatment were significantly higher than those of the control group and the difference was statistically significant （P 〈 0.05）.CD8＋ （29.5 ± 2.58）% was lower than that of the control group （P 〈 0.05）.The overall complication rate of the study group was 6.89%, significantly lower than that of the control group and the difference was statistically significant （P 〈 0.05）.Life quality score of the study group was （8.64 ± 3.36）, significantly higher than （6.21 ± 2.89） of the control group and the difference was statisti- cally significant （P 〈 0.05）.Conclusion The application of laparoscopic rectal cancer surgery in elderly patients is safe and can improve the curative effect and prognosis.
出处
《中国疗养医学》
2017年第9期937-939,共3页
Chinese Journal of Convalescent Medicine
关键词
直肠癌
腹腔镜
安全性
Rectal cancer
Laparoscopy
Safety
