摘要
目的:探究腹腔根治术与传统开腹手术治疗结肠癌的临床效果。方法:选择2012年至2016年于我院入院治疗的的结肠癌患者112例,按照随机抽样法分为对照组和实验组,每组各66例患者,实验组采用腹腔镜根治术治疗,对照组采用传统的开腹手术治疗。观察记录并比较两组的手术进行时间、术中患者出血量、术后排气时间、淋巴结清扫数量、患者住院天数、肠道功能的恢复情况以及术后并发症的发生情况。结果:实验组术中患者出血量、术后排气时间、住院天数间、术后并发症均少于对照组,实验组肠胃功能的恢复情况较好,P<0.05。手术时间、淋巴结清扫数量两组患者无明显差异,P>0.05,差异不具有统计学意义。结论:结肠癌的治疗中,腹腔镜根治术与传统的开腹手术相比,减少了术中出血量,患者在术后的排气时间和住院时间明显减少,术后并发症相对传统开腹手术减少,是一种安全有效的手术方式,具有良好的治疗效果,值得在临床推广应用。
Objective:To explore the clinical effect of radical operation of abdominal cavity and traditional open surgery in the treatment of colon cancer.Method:112cases of colon cancer patients who were hospitalized in our hospital from2012to2016were selected,randomly divided into control group andexperimental group,each group of66patients.The control group was treated by conventional laparotomy,while the experimental group was treated by laparoscopic radical operation.The time of operation,the amount of blood loss,the time of venting,the number of lymph nodes removed,the days ofhospitalization,the recovery of intestinal function,and the incidence of postoperative complications were recorded and compared between the two groups.Results:The recovery of gastrointestinal function was better than that of the control group(P<0.05).The blood loss,exhaust time,length of hospital stay and incidence of postoperative complications were significantly lower in the experimental group than in the control group.There were no significant differences in the operation time and lymph node dissection between the two groups(P>0.05).The difference was not statistically significant.Conclusion:Compared Laparoscopic radical resection and conventional open surgery for colorectal cancer,laparoscopic radical operation reduces the amount of intraoperative blood loss,shorten the exhaust time and hospital stay,postoperative complications reduced,is a safe and effective surgical approach,has a good therapeutic effect,worthy of clinical application..
作者
何毅
张鸿
何东生
He Yi;Zhang Hong;He Dongsheng(Institute of Clinical,Xuzhou Medical University,Xuzhou Jiangsu 221004,China)
出处
《科技通报》
北大核心
2017年第3期81-84,共4页
Bulletin of Science and Technology
关键词
腹腔镜根治术
传统开腹手术
结肠癌
临床效果
laparoscopic radical operation
traditional open surgery
colon cancer
clinical effects
