摘要
为观察腹腔镜微创手术治疗大肠癌合并肠梗阻的效果,将88例大肠癌合并肠梗阻患者随机分为开腹组及腹腔镜组,每组44组。开腹组患者采用开腹手术治疗,腹腔镜组患者采用腹腔镜微创手术治疗,比较2组患者术后疗效、免疫功能指标、生存率及复发率。结果显示,腹腔镜组患者总有效率高于开腹组(P <0.05);术前2组患者免疫功能指标比较差异无统计学意义(P>0.05),术后7d腹腔镜组患者血清免疫球蛋白(IgA)、免疫球蛋白(IgG)、免疫球蛋白(IgM)水平高于开腹组(P<0.05);2组患者生存率及复发率比较差异无统计学意义(P>0.05)。结果表明,腹腔镜微创手术可有效改善大肠癌合并肠梗阻患者临床症状,提高其疗效与机体免疫功能,可延长生存时间并降低复发率,有助于提高患者的预后。
This study was to observe the efficacy of laparoscopic mini-invasive surgery(LMIS)in the treatment of large intestinal cancer associated with intestinal obstruction(IO),randomly divided 88 patients with above diseases into open surgery group(44 cases,received open surgery)and laparoscope group(44 cases,LMIS);then,compared both groups’ effect,immunofunction norms,survival rate,and recurrence rate.As results,in preoperative immunofunction norms,and in patients’ survival rate and postoperative recurrence rate,there were all no statistical difference between the two groups(P >0.05,all);but,in total effective rate,and in the levels of IgA,IgG,and IgM at 7 days after surgery,laparoscope group was respectively higher,and higher than open surgery group(all,P <0.05).Results show that for the patients with large intestinal cancer associated with IO,LMIS can effectively improve their sympotoms,enhance their curative effect and body immunofunction,also extend survival time,as well as body immunofunction,also extened survival time,as well as reduce recurrence rate,which are helpful to improve patient’s prognosis.
作者
高山
高博文
GAO Shan;GAO Bo-wen(Dept.of General Surgery,Zhoukou Gangqu Hospial(Burn Hospital),Zhoukou,Henan 466000)
出处
《中国肛肠病杂志》
2021年第4期14-16,共3页
Chinese Journal of Coloproctology
关键词
大肠癌合并肠梗阻
腹腔镜微创手术
效果观察
Large intestinal cancer associated with intestinal obstruction
Laparoscopic mini-invasive surgery
Effect observation
