腹腔镜全直肠系膜切除保肛治疗低位直肠癌的临床效果
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摘要
目的探讨腹腔镜直肠系膜切除保肛治疗在低位直肠癌中的临床效果,以期为临床治疗提供参考与指导。方法选择我院2013年4月至2015年9月收治的低位直肠癌患者130例为研究对象,随机分为观察组与对照组,各65例。对照组患者给予开腹直肠系膜切除术治疗;观察组患者给予腹腔镜全直肠系膜切除保肛治疗,比较两组患者的临床疗效。结果观察组患者的术中出血量、手术时间、胃肠道功能恢复时间及切口愈合时间均明显优于对照组,差异具有统计学意义(P<0.05)。观察组患者并发症发生率为3.1%;对照组患者并发症率为12.3%,观察组患者的并发症发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论低位直肠癌患者应用腹腔镜全直肠系膜切除保肛治疗后,可降低患者的并发症发生率,帮助患者尽快的恢复,减少对身体造成的不良影响,提高了患者的预后质量,临床效果显著,值得在临床进行推广应用。
Objective To investigate the clinical effect of laparoscopic versus total mesorectal excision with sphincterpreservation in the treatment of low rectal cancer. Methods One hundred and thirty cases of patients with low rectal cancer admitted in our hospital from April 2013 to September 2015 were selected as the study objects. All the patients were divided into observation group and control group, with 65 cases in each group. The control group received open versus total mesorectal excision, and the observation group accepted laparoscopic versus total mesorectal excision with sphincter-preservation. The clinical effects of the two groups were compared. Results The intraoperative blood loss, operation time,gastrointestinal function recovery time and incision healing time of the observation group were better than those of the control group, the differences were statistically significant(P<0.05). The incidence rate of complications of the observation group was 3.1%, which was lower than 12.3% of the control group(P <0.05). Conclusion Laparoscopic versus total mesorectal excision with sphincter-preservation in the treatment of low rectal cancer can reduce the incidence rate of complications, help the patients' recovery, reduce the bad influence to the body and improve the prognosis quality. It has significant clinical effect, which is worthy of application and popularization.
Objective To investigate the clinical effect of laparoscopic versus total mesorectal excision with sphincterpreservation in the treatment of low rectal cancer. Methods One hundred and thirty cases of patients with low rectal cancer admitted in our hospital from April 2013 to September 2015 were selected as the study objects. All the patients were divided into observation group and control group, with 65 cases in each group. The control group received open versus total mesorectal excision, and the observation group accepted laparoscopic versus total mesorectal excision with sphincter-preservation. The clinical effects of the two groups were compared. Results The intraoperative blood loss, operation time,gastrointestinal function recovery time and incision healing time of the observation group were better than those of the control group, the differences were statistically significant(P<0.05). The incidence rate of complications of the observation group was 3.1%, which was lower than 12.3% of the control group(P <0.05). Conclusion Laparoscopic versus total mesorectal excision with sphincter-preservation in the treatment of low rectal cancer can reduce the incidence rate of complications, help the patients' recovery, reduce the bad influence to the body and improve the prognosis quality. It has significant clinical effect, which is worthy of application and popularization.
引文
[1]李西强.腹腔镜全直肠系膜切除术对低位直肠癌的效果及并发症情况[J].当代医学,2016,22(11):77-79.
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[9]姚毅明.腹腔镜全直肠系膜切除保肛治疗超低位直肠癌25例报道[J].中国医药指南,2013,11(4):178.
[10]邹振华.全直肠系膜切除联合弧形吻合器对低位直肠癌保肛患者肛门功能及血清清蛋白的影响[J].临床合理用药杂志,2014,7(11):118-119.
[2]刘秋华,张伯,涂建成,等.双器械吻合联合全直肠系膜切除Dixon保肛手术治疗直肠癌的临床效果观察[J].中国现代医学杂志,2016,26(10):99-102.
[3]郑芳,阳川华,汪晓东,等.全直肠系膜切除+经肛门内括约肌切除术治疗超低位直肠癌和直肠肛管癌的近期疗效[J].中国普外基础与临床杂志,2012,19(7):753-756.
[4]何程祖.全直肠系膜切除术治疗老年中低位直肠癌临床疗效[J].中国老年学杂志,2012,32(12):2490-2491.
[5]朱司国.腹腔镜辅助下全直肠系膜切除保肛术对低位直肠癌患者的肛门功能和血白蛋白效果分析[J].中国实用医药,2012,7(24):45-46.
[6]杨平,彭翔,邓建中,等.直肠癌新辅助治疗后联合腹腔镜下全直肠系膜切除术44例[J].广东医学,2012,33(17):2586-2590.
[7]赵恩宏,肖丽君,刘志满,等.肿瘤外翻量化切除超低位吻合治疗低位直肠癌[J].中国肿瘤临床,2012,39(4):225-229.
[8]刘继东,阎玉矿,李德宁,等.腹腔镜全直肠系膜切除保肛术治疗低位直肠癌的临床疗效分析[J].中华腔镜外科杂志:电子版,2015,8(3):46-49.
[9]姚毅明.腹腔镜全直肠系膜切除保肛治疗超低位直肠癌25例报道[J].中国医药指南,2013,11(4):178.
[10]邹振华.全直肠系膜切除联合弧形吻合器对低位直肠癌保肛患者肛门功能及血清清蛋白的影响[J].临床合理用药杂志,2014,7(11):118-119.