摘要
目的探究开腹直肠癌根治术与腹腔镜直肠癌手术治疗直肠癌老年患者的疗效和安全性。方法随机抽取80例直肠癌老年患者将其纳入实验研究范围内,其均在2016年6月—2019年6月入该院接受诊治,应用等量数字随机的方式进行分组,分别采用开腹直肠癌根治术(对照组)与腹腔镜直肠癌手术(实验组)对患者的病症进行治疗,分析手术治疗情况及治疗的安全性。结果实验组患者的住院时长(10.58±2.12)d、淋巴结清扫数量(11.9±4.6)n、手术出血量(115.47±26.78)mL及手术切口长度(6.58±2.02)cm,比较对照组患者的住院时长(15.36±3.18)d、淋巴结清扫数量(10.1±2.2)n、手术出血量(191.74±48.96)mL及手术切口长度(21.25±3.66)cm,实验组均显著优于对照组,差异有统计学意义(t=7.910、2.233、8.644、22.194,P<0.05)。且实验组发生切口感染、吻合口瘘、粘连性肠梗阻及排尿障碍的并发症发生概率5%显著低于对照组25%,差异有统计学意义(χ^2=6.275,P<0.05)。结论对老年直肠癌患者应用腹腔镜手术进行病症干预,有利于优化各项手术指标,提升术后患者机体康复速度,提升临床治疗的安全性。
Objective To investigate the efficacy and safety of open radical rectal cancer surgery and laparoscopic rectal cancer surgery for elderly patients with rectal cancer.Methods A total of 80 elderly patients with rectal cancer were randomLy selected and included in the scope of the experimental study.All of them were admitted to the hospital from June 2016 to June 2019 for treatment.Radical cancer surgery(control group)and laparoscopic rectal cancer surgery(experimental group)treat the patient's frontal disease,analyze the surgical treatment and the safety of the treatment.Results The length of hospitalization of the patients in the experimental group(10.58±2.12)d,the number of lymph node dissections(11.9±4.6)n,the amount of surgical bleeding(115.47±26.78)mL,and the length of the surgical incision(6.58±2.02)cm were compared with those of the control group(15.36±3.18)d,lymph node dissection number(10.1±2.2)n,surgical bleeding volume(191.74±48.96)mL and surgical incision length(21.25±3.66)cm,the experimental group were significantly better than the control group,corresponding,the difference was statistically significant(t=7.910,2.233,8.644,22.194,P<0.05).In addition,the incidence of complications of incision infection,anastomotic leakage,adhesive intestinal obstruction and urinary dysfunction in the experimental group was 5%,which was significantly lower than that in the control group,25%.The difference was statistically significant(χ^2=6.275,P<0.05).Conclusion The intervention of laparoscopic surgery in elderly patients with rectal cancer is beneficial to optimize various surgical indicators,improve the speed of recovery of postoperative patients,and improve the safety of clinical treatment.
作者
戚玉龙
QI Yu-long(General Surgery Department,Xinyi People's Hospital,Xinyi,Jiangsu Province,221400 China)
出处
《中外医疗》
2020年第18期32-34,共3页
China & Foreign Medical Treatment
关键词
开腹直肠癌根治术
腹腔镜直肠癌手术
直肠癌
安全性
Radical surgery for rectal cancer
Laparoscopic rectal cancer surgery
Rectal cancer
Safety
