CAJ | 학술논문

目的：研究对直肠癌患者采用腹腔镜下行直肠系膜全切术治疗的临床意义。方法选取在2010年6月至2013年2月间到我院诊治的80例直肠癌患者，随机分为两组，其中观察组40例，采用腹腔镜下行直肠系膜全切术的方式进行治疗，对照组40例，采取开腹下直肠系膜全切术进行治疗。分别对两组患者的手术状况、术后并发症及患者预后情况进行观察，记录并比较。结果观察组患者术中出血量、术后肛门排气时间、术后下床活动时间及住院时间明显优于对照组，差异具有统计学意义P＜0.05。观察组患者术后并发症发生率为7.5%比对照组的37.5%明显降低，且复发及转移也明显减少，存活率明显增高，比较差异有统计学意义P＜0.05。结论临床上对直肠癌患者采取腹腔镜下行直肠系膜全切术的方式进行治疗，对提高患者的手术情况、减少术后并发症及改善预后等方面有着显著的影响，治疗效果更好，值得在临床推广。
목적：연구대직장암환자채용복강경하행직장계막전절술치료적림상의의。방법선취재2010년6월지2013년2월간도아원진치적80례직장암환자，수궤분위량조，기중관찰조40례，채용복강경하행직장계막전절술적방식진행치료，대조조40례，채취개복하직장계막전절술진행치료。분별대량조환자적수술상황、술후병발증급환자예후정황진행관찰，기록병비교。결과관찰조환자술중출혈량、술후항문배기시간、술후하상활동시간급주원시간명현우우대조조，차이구유통계학의의P＜0.05。관찰조환자술후병발증발생솔위7.5%비대조조적37.5%명현강저，차복발급전이야명현감소，존활솔명현증고，비교차이유통계학의의P＜0.05。결론림상상대직장암환자채취복강경하행직장계막전절술적방식진행치료，대제고환자적수술정황、감소술후병발증급개선예후등방면유착현저적영향，치료효과경호，치득재림상추엄。
Objective:Study on the clinical results oflaparoscopic total mesorectal excisionof rectal cancer. Method:From June 2012 to July 2013, 80rectal cancerpatients in our hospital were selected.We divided the patients into two groups. In the observation group, 40 patients were treated withlaparoscopic total mesorectal excision; In the control group, 40 patients were treated with open surgery.Operation condition, postoperative complications and prognosis of two groups were observed, recorded and compared.Results: The amount of intraoperative bleeding, postoperative anal exhaust time, postoperative ambulation time and time of hospitalization of observation group was significantly better than the control group, with significant difference (p<0.05).The observation group’s complication rate was 7.5%,significantly lower than the control group’s 37.5%.Conclusion:UsingThe laparoscopic total mesorectal excision has a significant impact on the patients of rectal cancer;it is worth the clinical promotion.