摘要
目的:探讨左结肠动脉保留对腹腔镜直肠癌根治术患者胃肠及膀胱功能的影响。方法:选取2016年1月至2020年1月136例行腹腔镜直肠癌根治术的患者随机分为A、B组,均给予腹腔镜直肠癌根治术,A组保留左结肠动脉,B组不保留左结肠动脉,比较两组手术指标、术后恢复指标、术前术后胃肠功能、膀胱功能、并发症发生情况。结果:两组手术时间、术中出血量、淋巴结清扫总数、肠管近切缘长度、肠管远切缘长度、术后排气时间、术后拔管时间、住院时间差异无统计学意义(P>0.05);术前两组胃动素(MTL)、胃泌素(GAS)水平及胃肠道生活质量指数(gastrointestinal qality of life index,GIQIL)评分差异无统计学意义(P<0.05),术后3 d A组MTL、GAS水平及术后3个月GIQLI评分均高于B组(P<0.05);术前两组膀胱功能测定评分差异无统计学意义(P>0.05),术后3个月A组膀胱功能测定评分高于B组(P<0.05);A组术后并发症发生率为1.47%,低于B组的13.24%(P<0.05)。结论:腹腔镜直肠癌根治术中保留左侧结肠动脉可降低并发症的发生,促进胃肠功能及膀胱功能的恢复。
Objective:To investigate and analyze the influence of left colon artery preservation on gastrointestinal and bladder function of patients undergoing laparoscopic radical rectal cancer surgery;Methods:Select 136 patients who underwent laparoscopic radical rectal cancer surgery from January 2016 to January 2020.For groups A and B,both were given laparoscopic radical rectal cancer surgery.Group A retained the left colon artery and group B did not retain the left colon artery.The two groups were compared with surgical indicators,postoperative recovery indicators,gastrointestinal function,bladder before and after surgery.Function and complications;Results:Operation time,intraoperative blood loss,total number of lymph node dissections,length of proximal intestinal resection margin,length of distal intestinal resection margin,postoperative exhaust time,postoperative extubation time,hospital stay Significant difference(P>0.05).There was no significant difference in MTL,GAS levels and GIQLI scores between the two groups before surgery(P<0.05).The decrease in MTL and GAS levels of group A was lower than that of group B after 3d,and the improvement of GIQLI score was better than that In group B(P<0.05),there was no significant difference in bladder function measurement scores between the two groups before surgery(P>0.05).The bladder function measurement scores in group A increased more significantly than group B at 3 months after surgery(P<0.05),A The postoperative complication rate of group B was 1.47%significantly lower than that of group B’s 13.24%(P<0.05);Conclusion:Preserving the left colon artery during laparoscopic radical resection of rectal cancer can reduce complications,promote gastrointestinal function and The recovery of bladder function is worth promoting.
作者
唐胜标
TANG Shengbiao(People's Hospital of Yizhou District,Hechi Yizhou,546300)
出处
《包头医学院学报》
CAS
2020年第8期51-54,共4页
Journal of Baotou Medical College
关键词
左侧结肠动脉
腹腔镜
直肠癌根治术
胃肠功能
膀胱功能
left colon artery
laparoscopy
radical resection of rectal cancer
gastrointestinal function
bladder function
