CAJ | 학술논문

目的探讨腹腔镜手术治疗中低位直肠癌对患者生活质量的影响.方法 108例中低位直肠癌患者按照数字表法随机分为两组,观察组54例,对照组54例,观察组采用腹腔镜手术,对照组采用传统开腹手术.随访6个月,评估患者的生活质量(QOL).结果在手术时间、术中出血量和住院时间等方面,观察组均少于对照组(均P＜0.01);两组淋巴结清扫数差异无统计学意义(P＞0.05).观察组保肛患者47例,保肛率87.0％;对照组保肛患者37例,保肛率68.5％;两组差异有统计学意义(x2 =4.92,P＜0.05).两组手术后生活质量均比术前有所提高,并且观察组比对照组提高更明显(P＜0.05).结论腹腔镜手术治疗中低位直肠癌可以明显提高患者的生活质量.
목적 탐토복강경수술치료중저위직장암대환자생활질량적영향.방법 108례중저위직장암환자안조수자표법수궤분위량조,관찰조54례,대조조54례,관찰조채용복강경수술,대조조채용전통개복수술.수방6개월,평고환자적생활질량(QOL).결과 재수술시간、술중출혈량화주원시간등방면,관찰조균소우대조조(균P＜0.01);량조림파결청소수차이무통계학의의(P＞0.05).관찰조보항환자47례,보항솔87.0％;대조조보항환자37례,보항솔68.5％;량조차이유통계학의의(x2 =4.92,P＜0.05).량조수술후생활질량균비술전유소제고,병차관찰조비대조조제고경명현(P＜0.05).결론 복강경수술치료중저위직장암가이명현제고환자적생활질량.
Objective To study the effect of laparoscopic surgery on the quality of life in patients with middle and low rectal cancer.Methods 108 cases with middle and low rectal cancer in accordance with the number table,were randomly divided into two groups.54 patients in the observation group were operated through laparoscopic surgery and 54 patients in the control group received traditional open surgery.The patients were followed up for 6 months,the patients' quality of life were assesed.Results The operative time,blood loss and length of hospital stay in the observation group were less than the control group (P ＜ 0.01).The lymph node dissection between the two groups had no significant difference(P ＞0.05).47 patients in the observation group were rectal sphincter preservation,the rate was 87.0％,37 patients in the control group with rectal sphincter preservation,the rate was 68.5 ％,the difference between the two groups was significant (x2 =4.92,P ＜ 0.05).The patients'quality of life after surgery in two groups was increased than before surgery,and the observation group increased more significantly than the control group(P ＜ 0.05).Conclusion Laparoscopic surgery can significantly improve the quality of life in patients with middle and low rectal cancer.