直肠癌患者腹腔镜微创治疗的效果及肛肠动力学分析
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摘要
目的分析直肠癌患者腹腔镜微创治疗效果及肛肠动力学的影响价值。方法采用随机数字法抽取2017年10月至2018年10月我院收治的直肠癌患者68例为研究对象。给予传统组34例开腹手术进行治疗,给予微创组34例腹腔镜微创手术进行治疗。分析两组患者手术时间、术中出血量、肛门排气时间、并发症发生概率以及肛肠动力学指标水平。结果微创组术中出血量,明显少于传统组(P<0.05)。微创组手术时间、肛门排气时间,均明显短于传统组(P<0.05);微创组并发症发生概率为8.82%,明显低于传统组(P<0.05);治疗后,微创组肛管静息压、肛管最大收缩压以及肛管高压带,均明显高于传统组(P<0.05)。结论相比开腹手术治疗,直肠癌患者腹腔镜微创治疗效果及肛肠动力学的影响价值显著,能够明显缩短手术时间和肛门排气时间,降低术中出血量和并发症发生概率,对肛肠动力学的影响小,加快疾病康复,值得临床推广应用。
Objective To analyze the effect of laparoscopic minimally invasive treatment and anorectal dynamics in patients with rectal cancer. Methods A total of 68 patients with rectal cancer admitted to our hospital from October 2017 to October 2018 were enrolled in this study. 34 patients underwent laparotomy in the traditional group, and 34 patients underwent laparoscopic minimally invasive surgery in the minimally invasive group.The operation time,intraoperative blood loss, anal exhaust time, complication probability and anorectal dynamics index were analyzed in the two groups. Results The amount of bleeding in the minimally invasive group was significantly lower than that in the conventional group(P <0.05).The operation time and anal exhaust time of the minimally invasive group were significantly shorter than the traditional group(P<0.05).The incidence of complications in the minimally invasive group was 8.82%, which was significantly lower than that in the traditional group(P<0.05). After treatment,the anal canal resting pressure,the maximum systolic pressure of the anal canal,and the anal canal hypertension were significantly higher in the minimally invasive group(P<0.05). Conclusion Compared with open surgery,the value of laparoscopic minimally invasive treatment and anorectal dynamics in rectal cancer patients is significant, which can significantly shorten the operation time and anal exhaust time, and reduce the intraoperative blood loss and the probability of complications. The influence of anorectal dynamics is small,and the disease rehabilitation is accelerated,which is worthy of clinical application.
Objective To analyze the effect of laparoscopic minimally invasive treatment and anorectal dynamics in patients with rectal cancer. Methods A total of 68 patients with rectal cancer admitted to our hospital from October 2017 to October 2018 were enrolled in this study. 34 patients underwent laparotomy in the traditional group, and 34 patients underwent laparoscopic minimally invasive surgery in the minimally invasive group.The operation time,intraoperative blood loss, anal exhaust time, complication probability and anorectal dynamics index were analyzed in the two groups. Results The amount of bleeding in the minimally invasive group was significantly lower than that in the conventional group(P <0.05).The operation time and anal exhaust time of the minimally invasive group were significantly shorter than the traditional group(P<0.05).The incidence of complications in the minimally invasive group was 8.82%, which was significantly lower than that in the traditional group(P<0.05). After treatment,the anal canal resting pressure,the maximum systolic pressure of the anal canal,and the anal canal hypertension were significantly higher in the minimally invasive group(P<0.05). Conclusion Compared with open surgery,the value of laparoscopic minimally invasive treatment and anorectal dynamics in rectal cancer patients is significant, which can significantly shorten the operation time and anal exhaust time, and reduce the intraoperative blood loss and the probability of complications. The influence of anorectal dynamics is small,and the disease rehabilitation is accelerated,which is worthy of clinical application.
引文
[1]蒋明,崔海宁.微创腹腔镜与开腹手术联合快速康复技术治疗直肠癌临床研究[J].中国内镜杂志,2015,21(3):263-267.
[2]刘绍群,曹奕鸥.直肠癌患者腹腔镜微创治疗的效果及对肛肠动力学和肿瘤标志物含量的影响[J].河北医药,2016,38(18):2741-2744.
[3]陈志良,李瑞平,邓镇威,等.微创腹腔镜联合快速康复技术对直肠癌患者术后恢复进程和应激反应的影响[J].广州医学院学报2017,45(2):72-74.
[4]秦光远,左朝晖,姚敦武,等.腹腔镜直肠癌手术与传统开腹直肠癌手术的疗效比较[J].微创医学,2015,10(1):81.
[5]汤雪峰,李财宝,刘岗.腹腔镜微创手术与传统开腹手术对结直肠癌患者免疫和生理功能影响的临床观察[J].标记免疫分析与临床,2015,22(4):278.
[6]陆昌运,李裕永,卢挺斌,等.腹腔镜与开腹手术治疗低位直肠癌的效果对比[J].中国微创外科杂志,2016,16(5):465-467.
[7]郭宏斌,刘超.腹腔镜与开腹手术治疗直肠癌的临床疗效及对免疫功能的影响[J].实用临床医药杂志,2016,20(1):65-68.
[8]闫军,李亮,陈曦.腹腔镜直肠癌根治术与开腹手术近期疗效及对机体免疫的影响[J].中国现代普通外科进展,2016,19(8):592-595.
[9]张春泽,郑欣怡,宇永军,等.低位直肠癌极限保肛术后肛门动力学研究[J].中国中西医结合外科杂志,2018(6):704-709.
[10]例睿舒,易琨,李斌.腹腔镜直肠癌根治术对患者的肛肠动力学及抗炎状态的影响简[J].海南医学院学报,2015,21(1):127-130.
[2]刘绍群,曹奕鸥.直肠癌患者腹腔镜微创治疗的效果及对肛肠动力学和肿瘤标志物含量的影响[J].河北医药,2016,38(18):2741-2744.
[3]陈志良,李瑞平,邓镇威,等.微创腹腔镜联合快速康复技术对直肠癌患者术后恢复进程和应激反应的影响[J].广州医学院学报2017,45(2):72-74.
[4]秦光远,左朝晖,姚敦武,等.腹腔镜直肠癌手术与传统开腹直肠癌手术的疗效比较[J].微创医学,2015,10(1):81.
[5]汤雪峰,李财宝,刘岗.腹腔镜微创手术与传统开腹手术对结直肠癌患者免疫和生理功能影响的临床观察[J].标记免疫分析与临床,2015,22(4):278.
[6]陆昌运,李裕永,卢挺斌,等.腹腔镜与开腹手术治疗低位直肠癌的效果对比[J].中国微创外科杂志,2016,16(5):465-467.
[7]郭宏斌,刘超.腹腔镜与开腹手术治疗直肠癌的临床疗效及对免疫功能的影响[J].实用临床医药杂志,2016,20(1):65-68.
[8]闫军,李亮,陈曦.腹腔镜直肠癌根治术与开腹手术近期疗效及对机体免疫的影响[J].中国现代普通外科进展,2016,19(8):592-595.
[9]张春泽,郑欣怡,宇永军,等.低位直肠癌极限保肛术后肛门动力学研究[J].中国中西医结合外科杂志,2018(6):704-709.
[10]例睿舒,易琨,李斌.腹腔镜直肠癌根治术对患者的肛肠动力学及抗炎状态的影响简[J].海南医学院学报,2015,21(1):127-130.