中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
6期
840-841
,共2页
腹腔镜检查%结直肠外科手术%结肠肿瘤
腹腔鏡檢查%結直腸外科手術%結腸腫瘤
복강경검사%결직장외과수술%결장종류
Laparoscopy%Colorectal surgery%Colonic neoplasms
目的 比较腹腔镜手术与传统开放手术治疗左半结肠癌的临床疗效.方法 采用简单随机化法将58例左半结肠癌患者随机分为对照组27例和治疗组31例,对照组采用传统开放手术治疗;治疗组采用腹腔镜技术进行手术.观察和比较两组的手术时间、术中出血量、术后镇痛时间、术后排气时间、住院天数和清扫淋巴结数.观察两组的术后并发症发生情况.结果 治疗组的术中出血量、术后镇痛时间、术后排气肘间、住院天数均少于对照组(t =0.648、0.619、0.588、0.497,均P＜0.05);而两组的手术时间、淋巴结清扫数等差异无统计学意义(t=0.135、0.209,均P＞0.05).对照组术后并发症发生率18.5％,治疗组术后并发症发生率9.7％,两组术后并发症发生率差异有统计学意义(x2=17.03,P ＜0.05).结论 腹腔镜手术治疗左半结肠癌出血量低,住院天数短,并发症较少,有较高的临床推广应用价值.
目的 比較腹腔鏡手術與傳統開放手術治療左半結腸癌的臨床療效.方法 採用簡單隨機化法將58例左半結腸癌患者隨機分為對照組27例和治療組31例,對照組採用傳統開放手術治療;治療組採用腹腔鏡技術進行手術.觀察和比較兩組的手術時間、術中齣血量、術後鎮痛時間、術後排氣時間、住院天數和清掃淋巴結數.觀察兩組的術後併髮癥髮生情況.結果 治療組的術中齣血量、術後鎮痛時間、術後排氣肘間、住院天數均少于對照組(t =0.648、0.619、0.588、0.497,均P＜0.05);而兩組的手術時間、淋巴結清掃數等差異無統計學意義(t=0.135、0.209,均P＞0.05).對照組術後併髮癥髮生率18.5％,治療組術後併髮癥髮生率9.7％,兩組術後併髮癥髮生率差異有統計學意義(x2=17.03,P ＜0.05).結論 腹腔鏡手術治療左半結腸癌齣血量低,住院天數短,併髮癥較少,有較高的臨床推廣應用價值.
목적 비교복강경수술여전통개방수술치료좌반결장암적림상료효.방법 채용간단수궤화법장58례좌반결장암환자수궤분위대조조27례화치료조31례,대조조채용전통개방수술치료;치료조채용복강경기술진행수술.관찰화비교량조적수술시간、술중출혈량、술후진통시간、술후배기시간、주원천수화청소림파결수.관찰량조적술후병발증발생정황.결과 치료조적술중출혈량、술후진통시간、술후배기주간、주원천수균소우대조조(t =0.648、0.619、0.588、0.497,균P＜0.05);이량조적수술시간、림파결청소수등차이무통계학의의(t=0.135、0.209,균P＞0.05).대조조술후병발증발생솔18.5％,치료조술후병발증발생솔9.7％,량조술후병발증발생솔차이유통계학의의(x2=17.03,P ＜0.05).결론 복강경수술치료좌반결장암출혈량저,주원천수단,병발증교소,유교고적림상추엄응용개치.
Objective To compare the clinical effects of laparoscopy and traditional open surgery in the treatment of left colon cancer.Methods 58 patients with left colon cancer were randomly divided into the control group (27 cases) and the treatment group (31 cases).The control group was treated by traditional open surgery,the treatment group was treated by laparoscopic surgery.The operative time,blood loss,postoperative analgesia,postoperative exhaust time,length of hospital stay and number of lymph node dissection of the two groups were observed and compared.The postoperative complications were observed.Results The blood loss,postoperative analgesia,postoperative exhaust time,length of hospital stay of treatment group were less than those of the control group (t =0.648,0.619,0.588,0.497,all P ＜ 0.05) ; while the operative time,the number of lymph nodes dissection of the two groups showed no significant differences (t =0.135,0.209,all P ＞ 0.05).The incidence rate of postoperative complications of the control group was 18.5％,which was significantly higher than 9.7％ of the treatment group (x2 =17.03,P ＜ 0.05).Conclusion Laparoscopic surgery in the treatment of left colon cancer has less blood loss,shorter hospital stay,fewer complications,it has high clinical application value.
