CAJ | 학술논문

目的：探讨腹腔镜与开腹直肠癌根治术对老年患者机体应激的影响。方法选择直肠癌患者60例，分为两组，每组各30例，观察组采用腹腔镜下直肠癌根治术治疗，对照组实施常规开腹手术治疗，比较两组患者术前及术后1、3、5 d时CRP和IL-6水平的变化情况。结果术前两组患者的CRP和IL-6水平差异无统计学意义(P>0.05)，术后1、3、5 d观察组患者的CRP和IL-6水平均低于对照组(P<0.05)。结论腹腔镜下直肠癌根治术能显著降低患者术后应激反应的程度，值得临床重视。
목적：탐토복강경여개복직장암근치술대노년환자궤체응격적영향。방법선택직장암환자60례，분위량조，매조각30례，관찰조채용복강경하직장암근치술치료，대조조실시상규개복수술치료，비교량조환자술전급술후1、3、5 d시CRP화IL-6수평적변화정황。결과술전량조환자적CRP화IL-6수평차이무통계학의의(P>0.05)，술후1、3、5 d관찰조환자적CRP화IL-6수평균저우대조조(P<0.05)。결론복강경하직장암근치술능현저강저환자술후응격반응적정도，치득림상중시。
Objective To study the effects of laparoscopic and open radical surgery for colorectal cancer in elderly pa-tients with body stress. Methods 60 cases of colorectal cancer were divided into two groups,each group of 30 cases,the observation group were used laparoscopic colorectal,the control group were received conventional open surgery,then be-fore and after surgery in 1,3,5 d with CRP and IL-6 levels were compared. Results The preoperative CRP and IL-6 levels of the two groups had no difference (P>0.05),after 1 day,3 days and 5 days in the observation group with CRP and IL-6 levels were lower than control group (P<0.05). Conclusion Laparoscopic colorectal for cancer resection can significantly reduce the degree of postoperative stress response,so it is worthy of attention.