摘要
目的ISR在低位直肠癌患者保肛治疗中的临床效果及对功能恢复的影响研究。方法选取该院在2017年6月—2018年6月收治的直肠癌患者96例,将这些患者随机分为两组,对照组患者48例,研究组患者48例,对照组患者使用开腹ISR,研究组患者使用腹腔镜ISR进行治疗,通过对比两组患者术后3个月的肛门功能和手术结果。结果对两组患者进行对比研究后发现研究组患者的肛门功能显著优于对照组患者(P<0.05),研究组患者的手术结果显著优于对照组患者(P<0.05)。使用开腹ISR的患者的手术时间为(112.0±2.1)min,下床活动时间为(3.6±1.1)d,住院天数为(13.2±0.8)d,手术出血量为(103.6±52.1)mL;使用腹腔镜ISR治疗法的手术时间为(106.3±1.9)min,下床活动时间为(1.8±0.9)d,住院天数为(8.1±0.9)d,手术出血量为(94.5±12.8)mL。(t=11.294、20.391、12.125、11.335).。研究组患者的肛门功能显著优于对照组患者,而且研究组患者的住院时间低于对照组患者、出血量低于对照组、下床活动时间高于对照组、手术时间低于对照组。结论对于低位直肠癌患者来说使用腹腔镜ISR的治疗方法有利于患者进行术后恢复,而且手术创口较小,对患者的身体损伤程度比较低,患者能得到更高效的治疗。腹腔镜ISR治疗法是一种安全可靠的方法,在今后的临床实践中应该将该方法广泛的运用到低位直肠癌患者的治疗中。
Objective To investigate the clinical effects of ISR on the anal sphincter preservation in patients with low rectal cancer and its effect on functional recovery.Methods A total of 96 patients with rectal cancer admitted to our hospital from June 2017 to June 2018 were enrolled.The patients were randomly divided into two groups: 48 patients in the control group and 48 patients in the study group.The control group used open ISR.The study group patients were treated with laparoscopic ISR,and the anus function and surgical results were compared between the two groups after 3 months.Results A comparative study of the two groups showed that the anal function of the study group was significantly better than that of the control group (P<0.05).The surgical results of the study group were significantly better than those of the control group (P<0.05).The operation time of patients with open ISR was (112.0±2.1)min,the time of getting out of bed was (3.6±1.1)d,the length of hospital stay was (13.2±0.8)d,the amount of surgical bleeding was (103.6±52.1)mL;the operation using laparoscopic ISR treatment time was (106.3±1.9)min,the time of getting out of bed was(1.8±0.9)d,the length of hospital stay was (8.1±0.9)d,and the amount of surgical bleeding was (94.5±12.8)mL(t=11.294、20.391、12.125、11.335).The anal function of the study group was significantly better than that of the control group,and the hospitalization time of the study group was lower than that of the control group,the bleeding volume was lower than that of the control group,the time of getting out of bed was higher than that of the control group,and the operation time was lower than the control group.Conclusion For patients with low rectal cancer,the use of laparoscopic ISR is beneficial to the patient's postoperative recovery,and the surgical wound is small,the degree of physical damage to the patient is relatively low,and the patient can get more effective treatment.Laparoscopic ISR therapy is a safe and reliable method that should be widely used in the treatment of patients with low rectal cancer in future clinical practice.
作者
蒋鸿元
JIANG Hong-yuan(Department of Gastrointestinal Surgery,Leshan People's Hospital,Leshan,Sichuan Province,614000 China)
出处
《世界复合医学》
2019年第4期121-123,共3页
World Journal of Complex Medicine
