国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
7期
988-990
,共3页
腹腔镜%开腹手术%结肠癌%临床分析
腹腔鏡%開腹手術%結腸癌%臨床分析
복강경%개복수술%결장암%림상분석
Laparoscopy%Laparotomy%Colon cancer%Clinical analysis
目的 结合临床实践经验,探讨腹腔镜与开腹手术治疗结肠癌的临床疗效.方法 选取2008年1月-2010年6月期间,我院收治的结肠癌108例为研究对象,采用对照研究,经患者知情同意,将其分为对照组(54例)与观察组(54例),对照组采用开腹手术的方式治疗结肠癌,观察组采用腹腔镜手术的方式治疗结肠癌,比较两组患者治疗后的各项指标,评价两种方法的治疗效果.结果 对照组术中出血量(185.54±10.25)ml、镇痛时间(3.21±0.25)min、胃肠恢复时间(8.02±0.85)h、下床时间(9.61±0.75)h、住院时间(17.41±2.06)d 均明显高于观察组(75.55±8.26)ml、( 1.60±0.03) min、(5.11±0.37)h、(6.09±0.43)h、( 10.74±1.90)d,观察组手术时间(176.35±15.24) min明显高于对照组(145.63±12.34) min,差异均有统计学意义(P＜ 0.05).结论 采用腹腔镜的方式治疗结肠癌,具有术中失血量少,术后恢复快、下床时间早、住院时间短等优点,值得临床推广应用.
目的 結閤臨床實踐經驗,探討腹腔鏡與開腹手術治療結腸癌的臨床療效.方法 選取2008年1月-2010年6月期間,我院收治的結腸癌108例為研究對象,採用對照研究,經患者知情同意,將其分為對照組(54例)與觀察組(54例),對照組採用開腹手術的方式治療結腸癌,觀察組採用腹腔鏡手術的方式治療結腸癌,比較兩組患者治療後的各項指標,評價兩種方法的治療效果.結果 對照組術中齣血量(185.54±10.25)ml、鎮痛時間(3.21±0.25)min、胃腸恢複時間(8.02±0.85)h、下床時間(9.61±0.75)h、住院時間(17.41±2.06)d 均明顯高于觀察組(75.55±8.26)ml、( 1.60±0.03) min、(5.11±0.37)h、(6.09±0.43)h、( 10.74±1.90)d,觀察組手術時間(176.35±15.24) min明顯高于對照組(145.63±12.34) min,差異均有統計學意義(P＜ 0.05).結論 採用腹腔鏡的方式治療結腸癌,具有術中失血量少,術後恢複快、下床時間早、住院時間短等優點,值得臨床推廣應用.
목적 결합림상실천경험,탐토복강경여개복수술치료결장암적림상료효.방법 선취2008년1월-2010년6월기간,아원수치적결장암108례위연구대상,채용대조연구,경환자지정동의,장기분위대조조(54례)여관찰조(54례),대조조채용개복수술적방식치료결장암,관찰조채용복강경수술적방식치료결장암,비교량조환자치료후적각항지표,평개량충방법적치료효과.결과 대조조술중출혈량(185.54±10.25)ml、진통시간(3.21±0.25)min、위장회복시간(8.02±0.85)h、하상시간(9.61±0.75)h、주원시간(17.41±2.06)d 균명현고우관찰조(75.55±8.26)ml、( 1.60±0.03) min、(5.11±0.37)h、(6.09±0.43)h、( 10.74±1.90)d,관찰조수술시간(176.35±15.24) min명현고우대조조(145.63±12.34) min,차이균유통계학의의(P＜ 0.05).결론 채용복강경적방식치료결장암,구유술중실혈량소,술후회복쾌、하상시간조、주원시간단등우점,치득림상추엄응용.
Objective To explore the efficacies of laparoscopic surgery and laparotomy for colon cancer.Methods 108 patients wih colon cancer who had been treated in our hospital during January 2008 to June 2010 were included in this study.Use controlled study.The patients were assigned to receive open surgery ( 54 patients,control group ),or laparoscopic surgery ( 54 patients,study group ).Various indexes were compared between the two groups and the efficacies of the two procedures was assessed.All measurement data were expressed by mean ±:standard deviation and T test was applied.P ＜ 0.05 was used as a significant statistical difference.Results Blood loss was marked smaller and time to analgesia,time to gastrointestinal recovery,time to ambulation,and length of hospital stay were obviouly shorter in the study group than in the control group [( 185.54 ±10.25) ml vs.(75.55 ± 8.26) ml, (3.21 ± 0.25) min vs.( 1.60 ± 0.03) min,(8.02 ± 0.85)h vs.( 1.60 ± 0.03 ) h,( 9.61 ± 0.75 ) h vs.( 5.11 ± 0.37 ) h,and ( 17.41 ± 2.06 ) d vs.( 10.74± 1.90 )d; P＜ 0.05]; the surgical duration was significantly longer in the study group than in the control group [( 145.63 ± 12.34 ) min vsl ( 176.35±15.24 ) min, P ＜ 0.05 )].Conclusions Laparoscopic treatment for colon cancer has some advantage including less blood loss,rapid postoperative recovery,earlier ambulation,and shorter hospital stay.It is worth popularizing clinically.
