摘要
目的探究腹腔镜结直肠癌根治术治疗结直肠癌的效果。方法随机选取2020年1月—2023年6月临淄区妇幼保健医院(齐都医院)收治的70例结直肠癌患者为研究对象,根据治疗方式不同分为两组,对照组(35例)行常规开腹手术,研究组(35例)行腹腔镜结直肠癌根治术。比较两组患者临床指标、肠道恢复情况、炎症因子、并发症发生率。结果两组患者切口长度比较,差异无统计学意义(P>0.05)。两组患者临床指标(手术时间、术中出血量、住院时间)比较,研究组均优于对照组,差异有统计学意义(P均<0.05)。研究组排气恢复时间、进食恢复时间、腹胀持续时间、肠鸣音消失时间均短于对照组,差异有统计学意义(P均<0.05)。术前,两组患者炎症因子水平比较,差异无统计学意义(P>0.05)。术后,两组患者炎症因子水平高于治疗前,但研究组低于对照组,差异有统计学意义(P<0.05)。研究组并发症总发生率[2.86%(1/35)]低于对照组[20.00%(7/35)],差异有统计学意义(χ^(2)=5.081,P=0.024)。结论腹腔镜结直肠癌根治术治疗结直肠癌患者效果显著,可以减少组织创伤,并有效降低手术引发的炎症反应。
Objective To explore the effect of laparoscopic radical colorectal cancer in the treatment of colorectal cancer.Methods 70 colorectal cancer patients admitted to Linzi District Maternal and Child Health Hospital(Qidu Hospital)from January 2020 to June 2023 were randomly selected as the study objects,and were divided into two groups according to different treatment methods.The control group(35 cases)underwent conventional open surgery,and the study group(35 cases)underwent laparoscopic radical resection of colorectal cancer.The clinical indexes,intestinal recovery,inflammatory factors and complication rate were compared between the two groups.Results There was no significant difference in incision length between the two groups(P>0.05).The clinical indexes(operation time,intraoperative blood loss,length of hospital stay)of the two groups were compared,and the study group was better to the control group,and the differences were statistically significant(all P<0.05).The exhaust recovery time,eating recovery time,abdominal distension duration and bowel sound disappearance time of the study group were shorter than those of the control group,and the differences were statistically significant(all P<0.05).Before operation,there was no significant difference in the levels of inflammatory factors between two groups(P>0.05).After operation,the level of inflammatory factors in the two groups was higher than before treatment,but the study group was lower than the control group,the difference was statistically significant(P<0.05).The total complication rate of the study group[2.86%(1/35)]was lower than that of the control group[20.00%(7/35)],and the difference was statistically significant(χ^(2)=5.081,P=0.024).Conclusion Laparoscopic radical resection of colorectal cancer has a significant effect on patients with colorectal cance r,reducing tissue trauma and effectively reducing the inflammatory response caused by surgery.
作者
张华
ZHANG Hua(Department of General SurgeryⅡ,Linzi District Maternal and Child Health Care Hospital(Qidu Hospital),Zibo 255400,Shandong,China)
出处
《中外医疗》
2024年第21期49-52,共4页
China & Foreign Medical Treatment
关键词
腹腔镜结直肠癌根治术
结直肠癌
开腹手术
治疗效果
Laparoscopic radical resection of colorectal cancer
Colorectal cancer
Open surgery
Treatment effect
作者简介
张华(1973-),男,本科,副主任医师,研究方向为腹腔镜结直肠癌根治术的临床研究。
