摘要
目的分析腹腔镜全直肠系膜切除术治疗低位直肠癌的临床价值。方法方便选取合肥市第二人民医院普外科2014年7月—2018年1月收治的106例低位直肠癌患者根据手术方式分为两组,对照组50例行开腹全直肠系膜切除术,观察组56例行腹腔镜全直肠系膜切除术,比较两组治疗情况。结果观察组手术时间(166.82±15.95)min明显大于对照组的(145.38±12.74)min(t=7.586,P=0.000),术中出血量、术后胃肠功能恢复时间、术后离床时间、术后住院时间、疼痛程度评分均明显少于对照组(P<0.05);观察组系膜完整率83.93%明显高于对照组的66.00%(χ2=4.587,P=0.000),术后镇痛率5.36%、并发症发生率3.57%明显低于对照组的26.00%、18.00%(P<0.05)。结论腹腔镜全直肠系膜切除术治疗低位直肠癌创伤小,患者术后疼痛轻,康复快,可降低并发症发生风险。
Objective This paper tries to analyze the clinical value of laparoscopic total mesorectal excision in the treatment of low rectal cancer.Methods 106 cases of patients with rectal cancer from July 2014 to January 2018 was convenient selected admitted to the Department of general surgery of second piople's Hospital of Hefei,the patients were divided into two groups according to the surgery methods.Control group of 50 patients underwent open total mesorectal excision,the observation group of 56 patients underwent laparoscopic total mesorectal excision,the treatment of two groups were compared.Results The operation time of the observation group(166.82±15.95)min,significantly higher than the control group(145.38±12.74)min(t=7.586,P=0.000),the amount of bleeding,postoperative gastrointestinal function recovery time,postoperative bed time,the hospitalization time,postoperative pain scores were significantly less than the control group(P<0.05);observation group mesangial complete rate of 83.93%was significantly higher than the control group 66.00%(χ2=4.587,P=0.000),postoperative analgesia rate of 5.36%,complication rate of 3.57%was significantly lower than the control group of 26.00%,18.00%(P<0.05).Conclusion Laparoscopic total mesorectal excision is less invasive in the treatment of low rectal cancer.The patients have light postoperative pain and fast recovery,which can reduce the risk of complications.
作者
刘志平
王想
张有前
钱小星
LIU Zhi-ping;WANG Xiang;ZHANG You-qian;QIAN Xiao-xing(Department of General Surgery,Second People’s Hospital of Hefei,Hefei,Anhui Province,230011 China)
出处
《中外医疗》
2018年第7期33-35,共3页
China & Foreign Medical Treatment
