摘要
为观察腹腔镜手术联合西沙必利治疗直肠癌伴便秘的疗效,将直肠癌伴便秘患者85例分为观察组42例和对照组43例。观察组患者采用腹腔镜手术联合西沙必利治疗,对照组患者采用腹腔镜手术治疗,比较2组患者的治疗结果。结果显示,观察组患者服药后首次排便及末次排便的时间均短于对照组(P <0.05),排便次数多于对照组(P <0.05);观察组患者相比对照组患者术中出血量更少,手术时间、术后首次排气时间、术后首次排便时间及住院时间更短(P <0.05);观察组患者术后并发症发生率低于对照组(P <0.05)。结果表明,腹腔镜手术联合西沙必利治疗直肠癌伴便秘的临床疗效显著,明显改善患者的胃肠功能,有效降低患者术后并发症的发生率,具有临床推广价值。
This study was to observe the effect of laparoscopic surgery combined with cisapride in the treatment of rectal cancer associated with constipation,85 cases with above diseases into observation group(42 cases,adopted above combined therapy)and control group(43 cases,alone laparoscopic surgery);then,compared both groups’ treatment outcome.As results,after administered drugs in observation group the time for first-defecation and for end-time defecation,and the time-numbers of defecation were shorter and more than in control group(all,P <0.05);in intraoperaive bleeding volume;in the time for operating,for postoperatively first flatus from anus,and first defecation,as well as in hospitalization stay,observation group was respectively more less,more shorter,as well as more shorter than control group(all,P <0.05);the postoperative complication incidence of observation group was lower than that of control group(P <0.05).Results show that the combined therapy used in observation group in the treatment of rectal cancer associated with constipation has significant clinical effect,can distinctly improved patients’ gastrointestinal function,effectively reduce their postoperative complication,thus has the value for popularizing it clincially.
作者
张曌星
李智梅
刘卉
ZHANG Zhao-xing;LI Zhi-mei;LIU Hui(The lst Affiliated Hospital to Henan Sci-tech University,Luoyang,Henan 471000)
出处
《中国肛肠病杂志》
2021年第4期19-20,共2页
Chinese Journal of Coloproctology
关键词
直肠癌
便秘
腹腔镜手术
西沙必利
Rectal cancer
Constipation
Laparoscopic surgery
Cisapride