中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
10期
147-149
,共3页
不同分期%结肠癌%腹腔镜手术
不同分期%結腸癌%腹腔鏡手術
불동분기%결장암%복강경수술
Different stages%Colonic cancer%Laparoscopic surgery
目的：研究不同分期结肠癌患者行腹腔镜手术的临床疗效。方法：选取本院近年收治的结肠癌患者162例为研究对象，其中81例行开腹结肠癌根治术（常规组），另81例行腹腔镜手术（腹腔镜组），比较两组术后复发、远程转移及并发症情况。结果：两组在不同分期上的远处转移、局部复发及1年存活率上比较，差异均无统计学意义（P>0.05）；腹腔镜组术后总并发症率明显小于常规组，差异有统计学意义（P<0.05）；腹腔镜组Ⅲ期患者术后复发率、转移率及总并发症发生率均明显高于Ⅰ期、Ⅱ期患者，但差异均无统计学意义（P>0.05）。结论：腹腔镜手术治疗结肠癌患者具有高效性和安全性，在手术时机选择上，结肠癌Ⅰ期、Ⅱ期是腹腔镜手术的最佳治疗时机，治疗时应当结合临床分期科学选择术式，进行针对性预后。
目的：研究不同分期結腸癌患者行腹腔鏡手術的臨床療效。方法：選取本院近年收治的結腸癌患者162例為研究對象，其中81例行開腹結腸癌根治術（常規組），另81例行腹腔鏡手術（腹腔鏡組），比較兩組術後複髮、遠程轉移及併髮癥情況。結果：兩組在不同分期上的遠處轉移、跼部複髮及1年存活率上比較，差異均無統計學意義（P>0.05）；腹腔鏡組術後總併髮癥率明顯小于常規組，差異有統計學意義（P<0.05）；腹腔鏡組Ⅲ期患者術後複髮率、轉移率及總併髮癥髮生率均明顯高于Ⅰ期、Ⅱ期患者，但差異均無統計學意義（P>0.05）。結論：腹腔鏡手術治療結腸癌患者具有高效性和安全性，在手術時機選擇上，結腸癌Ⅰ期、Ⅱ期是腹腔鏡手術的最佳治療時機，治療時應噹結閤臨床分期科學選擇術式，進行針對性預後。
목적：연구불동분기결장암환자행복강경수술적림상료효。방법：선취본원근년수치적결장암환자162례위연구대상，기중81례행개복결장암근치술（상규조），령81례행복강경수술（복강경조），비교량조술후복발、원정전이급병발증정황。결과：량조재불동분기상적원처전이、국부복발급1년존활솔상비교，차이균무통계학의의（P>0.05）；복강경조술후총병발증솔명현소우상규조，차이유통계학의의（P<0.05）；복강경조Ⅲ기환자술후복발솔、전이솔급총병발증발생솔균명현고우Ⅰ기、Ⅱ기환자，단차이균무통계학의의（P>0.05）。결론：복강경수술치료결장암환자구유고효성화안전성，재수술시궤선택상，결장암Ⅰ기、Ⅱ기시복강경수술적최가치료시궤，치료시응당결합림상분기과학선택술식，진행침대성예후。
Objective:To study the clinical efficacy of laparoscopic surgery for patients with colonic cancer in different stages.Method:162 cases of colonic cancer treated in our hospital were selected as the research objects. The conventional group for 81 cases received laparotomy radical operation for colonic cancer,and the laparoscopic group for 81 cases received laparoscopic operation. The postoperative recurrence,remote transfer and complications of two groups were compared.Result:There were no evident differences for distant metastasis,local recurrence and survival rate greater than 1 year between two groups(P>0.05). The incidence rate of complications after operation of the laparoscopic group was evidently less than that of the conventional group,the difference was statistically significant(P<0.05). The recurrence rate after operation,transfer rate and incidence rate of complications ofⅢ-stage patients in the laparoscopic group were evidently higher than that ofⅠ-stage patients andⅡ-stage patients,but the differences were no statistically significant(P>0.05). Conclusion:Laparoscopic surgery treating patients with colonic cancer is high effective and safe. For the selection of operation opportunity,Ⅰ-stage andⅡ-stage colonic cancer are the best time of laparoscopic surgery. The clinical scientific selection operation modes by stages should be combined for targeted prognosis.
