腹腔镜结直肠癌根治术治疗结直肠癌患者的临床效果
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摘要
目的探讨腹腔镜结直肠癌根治术治疗结直肠癌患者的临床效果。方法选取2017年5月～2018年5月于我院接受手术治疗的100例结直肠癌患者作为研究对象,采用随机数字表法将其分为对照组和实验组,每组各50例。对照组患者采用传统的开腹手术治疗,实验组患者采用腹腔镜结直肠癌根治术治疗。分析对比两组患者的手术时间、出血量、肛门排气时间以及术后并发症总发生率。结果实验组患者的手术时间[(142.19±27.59)min]短于对照组[(158.49±35.48)min],出血量[(132.47±38.59)ml]显著少于对照组[(231.45±47.59)ml],肛门排气时间[(2.16±0.26)d]短于对照组[(3.69±0.47)d],差异有统计学意义(P<0.05)。实验组患者的术后并发症总发生率为2.00%,显著低于对照组的18.00%,差异有统计学意义(P<0.05)。结论结直肠癌患者采用腹腔镜结直肠癌根治术治疗具有较好的临床效果,患者术后并发症发生率低,在临床上具有很高的临床应用价值。
Objective To investigate the clinical effect of laparoscopic radical resection of colorectal cancer in the treatment of patients with colorectal cancer. Methods One hundred patients with colorectal cancer who underwent surgery in our hospital from May 2017 to May 2018 were enrolled in the study. They were divided into the control group and the experimental group according to the random number table method, with 50 cases in each group. Patients in the control group were treated with conventional open surgery, and patients in the experimental group were treated with laparoscopic radical resection of colorectal cancer. The operation time, the amount of bleeding, the time of anal exhaust, and the total incidence rate of postoperative complications were analyzed and compared between the two groups. Results The operation time of patients with colorectal cancer in the experimental group([142.19±27.59] min)was shorter than that in the control group([158.49±35.48] min), the amount of bleeding([132.47±38.59] ml) was significantly less than that in the control group([231.45±47.59] ml), the time of anal exhaust([2.16±0.26] d) was shorter than that in the control group([3.69±0.47] d), and the differences were statistically significant(P<0.05). The total incidence rate of postoperative complications in the experimental group was 2.00%, which was significantly lower than that in the control group(18.00%), and the difference was statistically significant(P<0.05). Conclusion Laparoscopic colorectal cancer radical resection in the treatment of patients with colorectal cancer has a good clinical effect. The incidence rate of postoperative complications is low, and it has high application value in clinical practice.
Objective To investigate the clinical effect of laparoscopic radical resection of colorectal cancer in the treatment of patients with colorectal cancer. Methods One hundred patients with colorectal cancer who underwent surgery in our hospital from May 2017 to May 2018 were enrolled in the study. They were divided into the control group and the experimental group according to the random number table method, with 50 cases in each group. Patients in the control group were treated with conventional open surgery, and patients in the experimental group were treated with laparoscopic radical resection of colorectal cancer. The operation time, the amount of bleeding, the time of anal exhaust, and the total incidence rate of postoperative complications were analyzed and compared between the two groups. Results The operation time of patients with colorectal cancer in the experimental group([142.19±27.59] min)was shorter than that in the control group([158.49±35.48] min), the amount of bleeding([132.47±38.59] ml) was significantly less than that in the control group([231.45±47.59] ml), the time of anal exhaust([2.16±0.26] d) was shorter than that in the control group([3.69±0.47] d), and the differences were statistically significant(P<0.05). The total incidence rate of postoperative complications in the experimental group was 2.00%, which was significantly lower than that in the control group(18.00%), and the difference was statistically significant(P<0.05). Conclusion Laparoscopic colorectal cancer radical resection in the treatment of patients with colorectal cancer has a good clinical effect. The incidence rate of postoperative complications is low, and it has high application value in clinical practice.
引文
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[4]张剑明,邓海军,王亚楠,等.腹腔镜直肠癌根治术后并发症危险因素的回顾性队列研究[J].实用医学杂志,2013,29(14):25-27.
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[9]严海,胡林清.腹腔镜直肠癌根治术对患者尿动力学及消化道功能状态的影响[J].海南医学院学报,2015,26(1):25-27.
[10]徐珂嘉,苏喆,钱刚登.基于快速康复外科理论的多模式镇痛在腹腔镜结直肠癌根治术的应用[J].山东医药,2016,56(10):89-90.
[11]宋东,王超,郭卫东.腹腔镜结直肠癌根治术对结直肠癌患者预后及胃肠激素的影响[J].宁夏医学杂志,2018,10(9):5946-5948.
[12]王新,何建军,杨庆强.腹腔镜结直肠癌根治术有关免疫保护的研究进展[J].中华临床医师杂志(电子版),2017,24(10):59-61.
[13]韦彪,韩佳.腹腔镜结直肠癌根治术治疗老年结直肠癌的效果观察[J].微创医学,2017,12(5):645-647,651.
[14]熊小勇,徐降兴,习举云.腹腔镜手术对比开腹手术在结直肠癌根治术中的安全性及远期疗效评估[J].实用癌症杂志,2016,31(10):1665-1668.
[15]杨超,王悦冬,王文浩,等.腹腔镜结直肠癌根治术与同期开腹手术的疗效对比研究[J].现代诊断与治疗,2017,3(13):134-136.
[2]王芬.不同麻醉镇痛方式对腹腔镜结直肠癌根治术患者术后转归的影响[J].临床麻醉学杂志,2016,16(25):68-70.
[3]贺孝文,王津道.腹腔镜结直肠癌根治术对结直肠癌患者血清胃肠激素水平、内脏蛋白水平及临床治疗效果分析[J].现代医院,2018,10(4):75-76.
[4]张剑明,邓海军,王亚楠,等.腹腔镜直肠癌根治术后并发症危险因素的回顾性队列研究[J].实用医学杂志,2013,29(14):25-27.
[5]戴毅,韦华力.腹腔镜与开腹结直肠癌根治术的临床效果观察[J].结直肠肛门外科,2017,23(3):396-399.
[6]朱渝军,陈刚,胡佳,等.腹腔镜与开腹手术治疗结直肠癌的临床疗效及术后并发症的比较[J].实用癌症杂志,2016,31(1):103-106.
[7]叶放进,金鑫,张永智.腹腔镜结直肠癌根治术治疗结直肠癌患者的疗效及对胃肠功能的影响[J].中国肿瘤临床与康复,2018,22(10):34-36.
[8]程相超,赵建红,袁启东,等.腹腔镜结直肠癌根治术对患者胃肠功能的影响[J].深圳中西医结合杂志,2018,43(7):57-59.
[9]严海,胡林清.腹腔镜直肠癌根治术对患者尿动力学及消化道功能状态的影响[J].海南医学院学报,2015,26(1):25-27.
[10]徐珂嘉,苏喆,钱刚登.基于快速康复外科理论的多模式镇痛在腹腔镜结直肠癌根治术的应用[J].山东医药,2016,56(10):89-90.
[11]宋东,王超,郭卫东.腹腔镜结直肠癌根治术对结直肠癌患者预后及胃肠激素的影响[J].宁夏医学杂志,2018,10(9):5946-5948.
[12]王新,何建军,杨庆强.腹腔镜结直肠癌根治术有关免疫保护的研究进展[J].中华临床医师杂志(电子版),2017,24(10):59-61.
[13]韦彪,韩佳.腹腔镜结直肠癌根治术治疗老年结直肠癌的效果观察[J].微创医学,2017,12(5):645-647,651.
[14]熊小勇,徐降兴,习举云.腹腔镜手术对比开腹手术在结直肠癌根治术中的安全性及远期疗效评估[J].实用癌症杂志,2016,31(10):1665-1668.
[15]杨超,王悦冬,王文浩,等.腹腔镜结直肠癌根治术与同期开腹手术的疗效对比研究[J].现代诊断与治疗,2017,3(13):134-136.