摘要
目的 对比探讨临床治疗结直肠癌疾病采用普通腹腔镜手术与经自然腔道标本取出术(Noses)治疗的效果。方法 选择2021年1—12月句容市人民医院收治的结直肠癌患者96例作为研究目标,按照随机数表法分为对照组(48例)与观察组(48例),对照组采取普通腹腔镜手术治疗,观察组实施Noses术治疗,记录两组患者围手术期指标,比较组间统计学差异;观察各组患者术后出现并发症的具体表现,比较总发生率。对患者进行为期6个月的跟踪随访,观察远期治疗效果。结果 两组患者淋巴结清扫个数比较,差异无统计学意义(P>0.05),观察组患者术中出血量明显少于对照组,术后下床、排气、进食及住院总时间均短于对照组,差异有统计学意义(P<0.05)。另外,观察组患者术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。随访6个月时间内,观察组患者远期治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗后观察组肛肠动力学指标检测结果均明显低于对照组,差异有统计学意义(P<0.05)。结论 临床治疗结直肠癌疾病可首选Noses术式,相比普通腹腔镜手术安全性更佳,术后患者可更快恢复,同时远期效果佳,值得运用推广。
Objective To compare and explore the efficacy of conventional laparoscopic surgery and natural orifice specimen extraction surgery(Noses)in the clinical treatment of colorectal cancer.Methods A total of 96 patients with colorectal cancer admitted to Jurong People Hospital from January to December 2021 were selected as the research objectives.They were divided into a control group(48 cases)and an observation group(48 cases)using a random number table method.The control group was treated with conventional laparoscopic surgery,while the observation group was treated with Noses.Perioperative indicators of the two groups of patients were recorded,and statistical differences between the two groups were compared;The specific manifestations of postoperative complications in each group of patients were observed and the total probabilities of occurrence were compared.Patients were followed up for 6 months to observe the long-term treatment effect.Results The number of lymph node dissections between the two groups of patients was compared,with no statistically significant difference(P>0.05).The intraoperative bleeding volume of the observation group was significantly lower than that of the control group,and the total time of getting out of bed,exhaust,eating,and hospitalization after surgery was shorter than that of the control group,with statistically significant difference(P<0.05).In addition,the total incidence of postoperative complications in the observation group was lower than that in the control group,with statistically significant difference(P<0.05).During a follow-up period of 6 months,the total effective rate of long-term treatment in the observation group was higher than that in the control group,with statistically significant difference(P<0.05).After treatment,the detection results of anal motility indicators in the observation group were significantly lower than those in the control group,with a statistically significant difference(P<0.05).Conclusion Noses is the first choice for the clinical treatment of colorectal cancer,with higher safety,faster postoperative recovery,and better long-term results compared to conventional laparoscopic surgery.Therefore,it is worth promoting and applying.
作者
崔苏阳
CUI Suyang(General Surgery Department,Jurong People Hospital,Jiangsu,Jurong 212400,China)
出处
《中国医药科学》
2023年第16期143-146,共4页
China Medicine And Pharmacy
关键词
经自然腔道标本取出术
普通腹腔镜手术
结直肠癌
并发症
Natural orifice specimen extraction surgery
Conventional laparoscopic surgery
Colorectal cancer
Complication
