摘要
目的 分析保留左结肠血管的腹腔镜直肠癌根治术疗效及术后恢复观察。方法 选取2021年5月—2022年6月至河南神火集团总医院就诊的58例直肠癌患者作为基础研究对象,将其按照随机分组法分为治疗组(29例)和对照组(29例),对照组术中采用不保留左侧结肠血管结扎,治疗组采用保留患者的左结肠血管手术方案。观察两组患者的排便功能、术后各项指标、淋巴结的清扫数量以及术后并发症。结果 两组患者肠鸣音实际恢复时间以及住院时间相比较对照组的所需时间长于治疗组(P<0.05);两组患者的并发症实际发生率对比治疗组(3.45%)优于对照组(10.34%),差异有统计学意义(P<0.05);两组患者的淋巴结实际清扫数目没有较大的差异(P>0.05);治疗后综合评估两组大便失禁情况,治疗组效果显著(P<0.05)。结论 对于直肠癌疾病的治疗,应用腹腔镜根治术并完整保留患者的左结肠血管,能够在一定程度上减少患者出现并发症的情况,有利于预后并改善吻合口的血供情况,治疗效果显著,可以在临床中进行推广应用。
Objective To analyze the efficacy of laparoscopic radical resection of rectal cancer with left colonic vascular preservation.Methods A total of 58 patients with rectal cancer who visited our hospital from May 2021 to June 2022 were selected as the basic research objects,and were divided into treatment group(29 cases) and control group(29 cases) according to the random grouping method.The left colonic vascular ligation was performed in the control group,while the left colonic vascular operation was performed in the treatment group.The defecation function,postoperative indicators,number of lymph nodes dissected and postoperative complications were observed.Results The actual recovery time of intestinal sounds and the length of hospital stay of the control group was longer than that of the treatment group(P<0.05).The actual incidence of complications in the treatment group and control group was 3.45% and 10.34% respectively(P<0.05).There was no significant difference in the number of lymph nodes dissected between the two groups(P>0.05).After treatment,the fecal incontinence of the two groups was comprehensively evaluated,and the effect of the treatment group was significant(P<0.05).Conclusion For the treatment of rectal cancer,laparoscopic radical resection with intact preservation of the left colonic blood vessels can reduce the incidence of complications in patients to a certain extent,which is conducive to the prognosis and improve the blood supply of the anastomosis.The treatment effect is significant and can be popularized in clinical application.
作者
刘锋
LIU Feng(Department of Minimally invasive Surgery,Henan Shenhuo Group General Hospital,Yongcheng,Henan 476600,China)
出处
《医药论坛杂志》
2023年第7期50-53,共4页
Journal of Medical Forum
关键词
左结肠血管
腹腔镜
直肠癌
临床疗效
Left colonic vessel
Laparoscope
Rectal cancer
Clinical curative effect
