腹腔镜直肠癌根治术在直肠癌患者中的临床效果及手术安全性对比
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摘要
目的研究探讨腹腔镜直肠癌根治术在直肠癌患者中的临床效果及手术安全性对比。方法该实验于2012年1月—2018年6月在该院进行,以此时段内收治的40例直肠癌患者为研究对象,随机均分两组,各20例,以开腹手术治疗为对照组,将腹腔镜直肠癌根治术收入观察组,比较两组手术相关指标以及并发症状况。结果①观察组手术用时:(45.5±10.5)min、术中出血量:(153.8±20.6)mL、住院天数:(4.0±1.3)d、肛门排气用时:(3.1±1.5)d;对照组手术用时:(50.3±12.9)min、术中出血量:(205.9±28.5)mL、住院天数:(6.3±2.1)d、肛门排气用时:(5.2±1.8)d(t=8.118,P<0.05,t=12.551, P<0.05; t=4.312, P<0.05; t=4.008, P<0.05);②观察组并发症发生例数为2例,对照组例数为5例(χ2=2.273,P<0.05)。结论对直肠癌患者实施腹腔镜直肠癌根治术治疗得到良好临床效果,将住院天数明显减少,将肛门排气用时缩短,并发症相对少,推荐在直肠癌患者今后的治疗中应用。
Objective To investigate the clinical effects and surgical safety of laparoscopic radical rectal cancer in patients with rectal cancer. Methods This experiment was performed in our hospital from January 2012 to June 2018.Forty patients with rectal cancer admitted to this study were randomly divided into two groups, 20 patients in each group. In the control group, the open surgery was adopted, the laparoscopic radical resection of rectal cancer was included in the observation group, and the surgical related indicators and complications were compared between the two groups. Results 1.The operation time of the observation group:(45.5±10.5) min, intraoperative blood loss:(153.8±20.6) mL,hospitalization days:(4.0±1.3) d, anus exhaust time:(3.1±1.5) d; surgery time in the control group:(50.3±12.9) min, intraoperative blood loss:(205.9±28.5) mL, hospital stay:(6.3±2.1) d, anus exhaust time:(5.2±1.8) d;(t=8.118,P<0.05,t=12.551, P<0.05; t=4.312, P<0.05; t=4.008, P<0.05) 2.The number of complications in the observation group was 2 cases,and the number in the control group was 5 cases,(χ2=2.273, P<0.05). Conclusion The treatment of laparoscopic rectal cancer in patients with rectal cancer has a good clinical effect. The hospitalization days are significantly reduced, the anus exhaust time is shortened, and the complications are relatively few. It is recommended to be applied in the future treatment of rectal cancer patients.
Objective To investigate the clinical effects and surgical safety of laparoscopic radical rectal cancer in patients with rectal cancer. Methods This experiment was performed in our hospital from January 2012 to June 2018.Forty patients with rectal cancer admitted to this study were randomly divided into two groups, 20 patients in each group. In the control group, the open surgery was adopted, the laparoscopic radical resection of rectal cancer was included in the observation group, and the surgical related indicators and complications were compared between the two groups. Results 1.The operation time of the observation group:(45.5±10.5) min, intraoperative blood loss:(153.8±20.6) mL,hospitalization days:(4.0±1.3) d, anus exhaust time:(3.1±1.5) d; surgery time in the control group:(50.3±12.9) min, intraoperative blood loss:(205.9±28.5) mL, hospital stay:(6.3±2.1) d, anus exhaust time:(5.2±1.8) d;(t=8.118,P<0.05,t=12.551, P<0.05; t=4.312, P<0.05; t=4.008, P<0.05) 2.The number of complications in the observation group was 2 cases,and the number in the control group was 5 cases,(χ2=2.273, P<0.05). Conclusion The treatment of laparoscopic rectal cancer in patients with rectal cancer has a good clinical effect. The hospitalization days are significantly reduced, the anus exhaust time is shortened, and the complications are relatively few. It is recommended to be applied in the future treatment of rectal cancer patients.
引文
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[3]陈玉叶,吴丽仙,潘红英,等.改良式可冲洗肛管在腹腔镜直肠癌Dixon术后的应用及护理[J].护理与康复,2018,17(8):53-55.
[4]梁大顺,吴国忠,庞绍春,等.切口缝合后超声引导腹横肌平面阻滞在腹腔镜直肠癌根治术中的应用[J].广西医学,2018,40(15):1660-1664.
[5]徐欣,熊岩,郝雪梅,等.手术室人文关怀护理对腹腔镜直肠癌根治术患者术后焦虑抑郁情绪的影响[J].结直肠肛门外科,2017,23(S1):4-6.
[6]殷杰.腹腔镜直肠癌手术与传统开腹直肠癌手术的临床疗效对比[J].中华肿瘤防治杂志,2016,23(S2):211-213.
[7]李震寰,黄晓方,詹宜.腹腔镜直肠癌根治术对患者胃肠功能及疼痛状态相关血清指标的表达影响[J].湖南师范大学学报:医学版,2016,13(6):26-28.
[8]陆卫萍.硬膜外麻醉复合全身麻醉和单纯全身麻醉在腹腔镜直肠癌手术中的疗效比较[J].中外医学研究,2016,14(34):152-153.
[9]刘勇,夏军强,张琴.腹腔镜直肠癌经腹会阴联合切除术中盆底腹膜重建对术后并发症的影响[J].中国普外基础与临床杂志,2016,23(11):1375-1378.
[10]黄作勤,潘玉满,邱鹏,等.开腹直肠癌根治术与腹腔镜直肠癌手术治疗直肠癌老年患者的疗效以及安全性对比分析[J].中国现代医生, 2014, 52(22):133-135.
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