世界最新医学信息文摘(电子版)
世界最新醫學信息文摘(電子版)
세계최신의학신식문적(전자판)
World Latest Medicine Information
2013年
8期
62-63
,共2页
腹腔镜%结直肠癌%手术
腹腔鏡%結直腸癌%手術
복강경%결직장암%수술
Laparoscopic%Rectal cancer%Operation
目的比较腹腔镜结直肠癌手术与传统手术的临床疗效。方法回顾性分析我院2009年10月至2011年11月间106例结直肠癌患者的临床资料,将其中采用腹腔镜手术治疗的54例患者归为观察组,而将采用传统手术治疗的52例结直肠癌患者定为对照组。结果观察组在住院时间、出血量、肠功能恢复等方面均显著优于对照组(P<0.05),且观察组5.55%的并发症发生率与对照组30.75%的发生率比较差异不明显;但观察组在手术时间,手术和住院费用方面明显高于对照组(P<0.05);同时两组在切除的肿块大小等方面无显著差异(P>0.05);在跟踪随访18-40个月后表明两组在转移率、局部复发率和病死率方面均无显著差异(P>0.05)。结论腹腔镜结直肠癌手术能够达到和传统手术同样的临床疗效,虽然其费用相对较高,但在减轻手术创伤、降低手术并发症、保障患者安全、缩短住院时间等方面相对于传统手术有显著地改善,是治疗结直肠癌的可靠选择、特别是早期结直肠癌。
目的比較腹腔鏡結直腸癌手術與傳統手術的臨床療效。方法迴顧性分析我院2009年10月至2011年11月間106例結直腸癌患者的臨床資料,將其中採用腹腔鏡手術治療的54例患者歸為觀察組,而將採用傳統手術治療的52例結直腸癌患者定為對照組。結果觀察組在住院時間、齣血量、腸功能恢複等方麵均顯著優于對照組(P<0.05),且觀察組5.55%的併髮癥髮生率與對照組30.75%的髮生率比較差異不明顯;但觀察組在手術時間,手術和住院費用方麵明顯高于對照組(P<0.05);同時兩組在切除的腫塊大小等方麵無顯著差異(P>0.05);在跟蹤隨訪18-40箇月後錶明兩組在轉移率、跼部複髮率和病死率方麵均無顯著差異(P>0.05)。結論腹腔鏡結直腸癌手術能夠達到和傳統手術同樣的臨床療效,雖然其費用相對較高,但在減輕手術創傷、降低手術併髮癥、保障患者安全、縮短住院時間等方麵相對于傳統手術有顯著地改善,是治療結直腸癌的可靠選擇、特彆是早期結直腸癌。
목적비교복강경결직장암수술여전통수술적림상료효。방법회고성분석아원2009년10월지2011년11월간106례결직장암환자적림상자료,장기중채용복강경수술치료적54례환자귀위관찰조,이장채용전통수술치료적52례결직장암환자정위대조조。결과관찰조재주원시간、출혈량、장공능회복등방면균현저우우대조조(P<0.05),차관찰조5.55%적병발증발생솔여대조조30.75%적발생솔비교차이불명현;단관찰조재수술시간,수술화주원비용방면명현고우대조조(P<0.05);동시량조재절제적종괴대소등방면무현저차이(P>0.05);재근종수방18-40개월후표명량조재전이솔、국부복발솔화병사솔방면균무현저차이(P>0.05)。결론복강경결직장암수술능구체도화전통수술동양적림상료효,수연기비용상대교고,단재감경수술창상、강저수술병발증、보장환자안전、축단주원시간등방면상대우전통수술유현저지개선,시치료결직장암적가고선택、특별시조기결직장암。
Objective To compare laparoscopic surgery for colorectal cancer with traditional surgery, the clinical efifcacy. Methods A retrospective analysis of clinical data of our hospital from October 2009 to November 2011, 106 cases of colorectal cancer patients, of which 54 cases of laparoscopic surgery for patients classiifed as observation group, the traditional surgery 52 cases of colorectal cancer patients as a control group. Results The hospitalization time, blood loss, recovery of intestinal function of the observation group were signiifcantly better than the control group (P<0.05), and the observation group was 5.55%complication rate also was signiifcantly lower than the incidence of 30.75%of the control group;observation group in the operative time, surgical and hospital costs, was signiifcantly higher (P<0.05);two groups in the removal of the tumor size was no signiifcant difference (P>0.05);followed up for 18-40 months indicates that the two groups in the transfer rate of local recurrence and mortality were not signiifcantly different (P>0.05). Conclusion:Laparoscopic surgery for colorectal cancer can achieve the same clinical efifcacy of conventional surgery, although its relatively high cost, but in reducing the risk of surgery to protect patient safety, a signiifcant improvement compared to traditional surgery is the treatment of colorectal cancer a reliable choice.