中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
4期
600-601,603
,共3页
低位直肠癌%腹腔镜%生存质量
低位直腸癌%腹腔鏡%生存質量
저위직장암%복강경%생존질량
Low rectal cancer%Laparoscope%Quality of life
目的：探讨腹腔镜下保肛治疗低位直肠癌的疗效观察。方法：采用前瞻性研究方法，选取我院自2002年1月至2012年6月间收治的低位直肠癌患者186例作为研究对象，按照手术方式的不同分为腔镜组和开腹组，对两组的围手术期相关指标、术后相关并发症及术后生活质量进行比较。结果：腔镜组和开腹组围手术期指标手术时间、术中出血量、胃肠功能恢复时间、住院天数、住院费用等方面进行比较，差异有统计学意义(P<0.05)。腔镜组术后总的并发症发生率为6.12%(6/98)，开腹组术后总的并发症发生率为15.31%(15/98)，两组总并发症的发生效率比较，差异有统计学意义(P<0.05)。术后1年，两组患者生活质量进行比较，腔镜组优良率为96.72％(59/61)，开腹组优良率为81.97％(50/61)。两组优良率进行比较，差异有统计学意义(P<0.05)。结论：在达到肿瘤根治的前提下，腹腔镜下保肛治疗低位直肠癌能最大程度地保留盆腔神经功能，更好提高患者术后生存质量。
目的：探討腹腔鏡下保肛治療低位直腸癌的療效觀察。方法：採用前瞻性研究方法，選取我院自2002年1月至2012年6月間收治的低位直腸癌患者186例作為研究對象，按照手術方式的不同分為腔鏡組和開腹組，對兩組的圍手術期相關指標、術後相關併髮癥及術後生活質量進行比較。結果：腔鏡組和開腹組圍手術期指標手術時間、術中齣血量、胃腸功能恢複時間、住院天數、住院費用等方麵進行比較，差異有統計學意義(P<0.05)。腔鏡組術後總的併髮癥髮生率為6.12%(6/98)，開腹組術後總的併髮癥髮生率為15.31%(15/98)，兩組總併髮癥的髮生效率比較，差異有統計學意義(P<0.05)。術後1年，兩組患者生活質量進行比較，腔鏡組優良率為96.72％(59/61)，開腹組優良率為81.97％(50/61)。兩組優良率進行比較，差異有統計學意義(P<0.05)。結論：在達到腫瘤根治的前提下，腹腔鏡下保肛治療低位直腸癌能最大程度地保留盆腔神經功能，更好提高患者術後生存質量。
목적：탐토복강경하보항치료저위직장암적료효관찰。방법：채용전첨성연구방법，선취아원자2002년1월지2012년6월간수치적저위직장암환자186례작위연구대상，안조수술방식적불동분위강경조화개복조，대량조적위수술기상관지표、술후상관병발증급술후생활질량진행비교。결과：강경조화개복조위수술기지표수술시간、술중출혈량、위장공능회복시간、주원천수、주원비용등방면진행비교，차이유통계학의의(P<0.05)。강경조술후총적병발증발생솔위6.12%(6/98)，개복조술후총적병발증발생솔위15.31%(15/98)，량조총병발증적발생효솔비교，차이유통계학의의(P<0.05)。술후1년，량조환자생활질량진행비교，강경조우량솔위96.72％(59/61)，개복조우량솔위81.97％(50/61)。량조우량솔진행비교，차이유통계학의의(P<0.05)。결론：재체도종류근치적전제하，복강경하보항치료저위직장암능최대정도지보류분강신경공능，경호제고환자술후생존질량。
Objective: To expore laparoscopic curative effect observation by laparoscopic sphincter-preserving radical surgery. Methods: By prospective studies method, 186 cases with low rectal cancer patients were selected from January 2002 to June 2012, according to the different methods of operation ,they were divided into laparoscopic group and laparotomy group,perioperative related parameters,postoperative complications and postoperative quality of life of two groups were compared. Results:perioperative indicators of operation time, intraoperative blood loss, gastrointestinal function recovery time, hospitalization days, hospitalized expense of two groups were compared, the difference was statistically significant (P<0.05). overall complication rate of laparoscopic group was 6.12% (6/98),total postoperative complication rate of laparotomy group was 15.31% (15/98), two groups of total complications efficiency had a comparison, the difference was statistically significant (P<0.05). After 1 year, quality of life of two groups were compared, laparoscopic group was 96.72% (59/61), laparotomy group was 81.97% (50/61). Two groups was compared, the difference was statistically significant (P<0.05). Conclusion: Under the premise of a radical cure, laparoscopic sphincter-preserving radical surgery treatment of low rectal cancer can maximize the retention pelvic nerve function, and better improve the quality of patients with postoperative survival.
