CAJ | 학술논문

目的：对比腹腔镜辅助下横结肠癌根治术与开腹手术的临床疗效。方法收集青岛大学医学院附属医院自2007年2月～2013年5月行横结肠癌根治术59例分组进行统计学分析，其中腹腔镜辅助下横结肠癌根治术组（腹腔镜组）29例，开腹手术组（开腹组）30例，对两组病人的手术时间、失血量、清扫淋巴结数、切口长度、肠道功能恢复时间、住院时间、术后并发症、生存率、局部复发率、远处转移率等指标进行对比研究，采用SPSS11．0软件进行统计学分析。结果与开腹组相比，腹腔镜组病人失血量少、切口长度短、肠道功能恢复快、住院时间短、术后并发症少（P＜0．05）；两组病人在手术时间、清扫淋巴结数、住院费用、生存率、局部复发率、远处转移率等方面无统计学差异（P＞0．05）。结论腹腔镜辅助下横结肠癌根治术的临床疗效优于开腹手术，值得在临床推广。
목적：대비복강경보조하횡결장암근치술여개복수술적림상료효。방법수집청도대학의학원부속의원자2007년2월～2013년5월행횡결장암근치술59례분조진행통계학분석，기중복강경보조하횡결장암근치술조（복강경조）29례，개복수술조（개복조）30례，대량조병인적수술시간、실혈량、청소림파결수、절구장도、장도공능회복시간、주원시간、술후병발증、생존솔、국부복발솔、원처전이솔등지표진행대비연구，채용SPSS11．0연건진행통계학분석。결과여개복조상비，복강경조병인실혈량소、절구장도단、장도공능회복쾌、주원시간단、술후병발증소（P＜0．05）；량조병인재수술시간、청소림파결수、주원비용、생존솔、국부복발솔、원처전이솔등방면무통계학차이（P＞0．05）。결론복강경보조하횡결장암근치술적림상료효우우개복수술，치득재림상추엄。
Objective To study comparatively the clinical curative effect of laparoscopic assisted radical resection of transverse colon and open operation .Methods Fifty-nine cases were selected for statistical analysis from the transverse colon cancer radical resection cases collected in Affiliated Hospital of Qingdao University Medical College from 2007 February to 2013 May,divided into laparoscopic assis-ted radical resection of transverse colon group (laparoscopy group,29 cases) and open operation group(30 cases).Indicators of 2 groups in-cluding operation time,blood loss,number of excisional lymph nodes ,the length of incision,intestinal function recovery time ,hospitalization time,postoperative complications ,survival rate,local recurrence rate ,distant metastasis rate were studied comparatively .Statistical analysis was performed using SPSS11.0 software.Results Compared with the open operation group ,patients in laparoscopy group had less blood loss , shorter length of incision,less intestinal function recovery time,less hospitalization time,less postoperative complications(P<0.05);There were no statistical differences between 2 groups in operation time,number of excisional lymph nodes,hospitalization expenses,survival rate,lo-cal recurrence rate,distant metastasis rate(P>0.05).Conclusion The clinical curative effect of laparoscopic assisted radical resection of transverse colon is better than open operation ,and laparoscopic assisted radical resection of transverse colon is worth in the clinical promoted application .