中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
15期
2259-2260
,共2页
直肠肿瘤%腹腔镜%结肠造口术%老年人
直腸腫瘤%腹腔鏡%結腸造口術%老年人
직장종류%복강경%결장조구술%노년인
Rectal neoplasms%Laparoscopes%Colostomy%Aged
目的：探讨腹腔镜下Miles术乙状结肠造口方式治疗老年人直肠癌的疗效。方法选取78例行Miles术老年直肠癌患者的临床资料，根据手术方法不同分为观察组39例和对照组39例，观察组行腹腔镜下操作Miles术，对照组行开腹式Miles术。比较两组安全性、早期并发症情况以及疗效。结果观察组术后并发症发生率、手术6个月造口功能临床优良率分别为5．13％、66．67％，均优于对照组的38．46％、20.51％（χ2＝12．70、9．69，均P＜0．05）；观察组排便感优于对照组（χ2＝29．40，P＜0．05）；观察组患者生活质量的躯体功能方面评分明显优于对照组（t＝3．30，P＜0．05）。结论腹腔镜下Miles术乙状结肠造口治疗老年直肠癌较传统开腹手术疗效更好，在降低近远期并发症、提高患者生活质量方面有着明显的实际意义。
目的：探討腹腔鏡下Miles術乙狀結腸造口方式治療老年人直腸癌的療效。方法選取78例行Miles術老年直腸癌患者的臨床資料，根據手術方法不同分為觀察組39例和對照組39例，觀察組行腹腔鏡下操作Miles術，對照組行開腹式Miles術。比較兩組安全性、早期併髮癥情況以及療效。結果觀察組術後併髮癥髮生率、手術6箇月造口功能臨床優良率分彆為5．13％、66．67％，均優于對照組的38．46％、20.51％（χ2＝12．70、9．69，均P＜0．05）；觀察組排便感優于對照組（χ2＝29．40，P＜0．05）；觀察組患者生活質量的軀體功能方麵評分明顯優于對照組（t＝3．30，P＜0．05）。結論腹腔鏡下Miles術乙狀結腸造口治療老年直腸癌較傳統開腹手術療效更好，在降低近遠期併髮癥、提高患者生活質量方麵有著明顯的實際意義。
목적：탐토복강경하Miles술을상결장조구방식치료노년인직장암적료효。방법선취78례행Miles술노년직장암환자적림상자료，근거수술방법불동분위관찰조39례화대조조39례，관찰조행복강경하조작Miles술，대조조행개복식Miles술。비교량조안전성、조기병발증정황이급료효。결과관찰조술후병발증발생솔、수술6개월조구공능림상우량솔분별위5．13％、66．67％，균우우대조조적38．46％、20.51％（χ2＝12．70、9．69，균P＜0．05）；관찰조배편감우우대조조（χ2＝29．40，P＜0．05）；관찰조환자생활질량적구체공능방면평분명현우우대조조（t＝3．30，P＜0．05）。결론복강경하Miles술을상결장조구치료노년직장암교전통개복수술료효경호，재강저근원기병발증、제고환자생활질량방면유착명현적실제의의。
Objective To investigate the effect of Miles laparoscopic sigmoid colostomy surgery for elderly patients with colorectal cancer .Methods The clinical data of 78 elderly patients with colorectal cancer underwent surgery were chosen .According to the different operation method , they were randomly divided into the observation group and control group ,39 cases in each group .The observation group was treated with laparoscopic Miles ,and the control group underwent surgery for abdominal Miles .The safety,efficacy,early complications of the two groups were analyzed and compared .Results The incidence rate of postoperative complication , excellent rate of ostomy surgery 6 months after operation in the observation group were 5.13%, 66.67%, respectively, which were better than 38.46%,20.51%in the control group (χ2 =12.70,9.69,all P<0.05).The defecate feeling of the observation group was better than that of the control group (χ2 =29.40,P<0.05).The difference of patients'quality of life and physical function between the two groups was statistically significant (t=3.30,P<0.05).Conclusion The clinical effect of laparoscopic sigmoid colostomy surgery Miles in the treatment of elderly patients with colorectal cancer is bet -ter than traditional open surgery ,it has obvious practical significance such as reducing the short and long term compli -cations and improving the quality of life of patients .
