摘要
目的:评价腹腔镜手术、开腹手术在结直肠癌根治术中的应用效果和安全性。方法:选取我院2014年2月~2015年5月收治的90例结直肠癌患者,根据患者的就诊时间,分为观察组(n=45)、对照组(n=45)。观察组采用腹腔镜手术治疗,对照组采用开腹手术治疗,使用SPSS23.0版本统计学软件,对比两组患者的临床效果差异。结果:两组临床相关指标(手术时间、术中出血量、肛门排气时间、住院时间、淋巴结清扫数目、腹腔引流量)比较,除手术时间、淋巴结清扫数目、腹腔引流量外,其他指标进行比较,均存在统计学的意义,P<0.05。观察组术后并发症发生率为8.89%,对照组术后并发症发生率为11.11%,组间对比,差异性不显著,P >0.05。两组在术后12个月、24个月、36个月远期生存率方面相比较,统计学意义均存在,P<0.05。结论:结直肠癌治疗中,采用腹腔镜手术/开腹手术治疗,均能保证治疗的效果和安全,但是经前者治疗还可减少术中出血量、肛门排气时间、住院时间,提高患者的远期生存质量,因此建议在结直肠癌治疗中值得予以应用和推广。
Objective:To evaluate the efficacy and safety of laparoscopic surgery and open surgery in radical resection of colorectal cancer.Methods:Ninety patients with colorectal cancer admitted to our hospital from February 2014 to May 2015 were enrolled in the observation group(n=45)and the control group(n=45).The observation group was treated with laparoscopic surgery,and the control group was treated with open surgery.The statistical software of SPSS version 23.0 was used to compare the clinical effects of the two groups.Result:The clinically relevant indicators(operative time,intraoperative blood loss,anal exhaust time,length of hospital stay,number of lymph node dissection,and abdominal drainage)were compared between the two groups except for the operation time,the number of lymph node dissection,and the abdominal drainage volume.Comparison,there is statistical significance,P<0.05.The incidence of postoperative complications was 8.89%in the observation group and 11.11%in the control group.The difference between the groups was not significant(P >0.05).The long-term survival rates of the two groups at 12 months,24 months,and 36 months after surgery were statistically significant,P<0.05.Conclusion:In the treatment of colorectal cancer,laparoscopic surgery/laparotomy can ensure the efficacy and safety of the treatment,but the treatment of the former can also reduce the amount of intraoperative blood loss,anal exhaust time,hospitalization time,and improve the patient’s Long-term quality of life,it is recommended to be applied and promoted in the treatment of colorectal cancer.
出处
《健康之路》
2018年第11期109-109,共1页
Health Way
关键词
腹腔镜手术
开腹手术
结直肠癌根治术
远期疗效
安全性
Laparoscopic surgery
Open surgery
Radical resection of colorectal cancer
Long-term efficacy
Safety
