CAJ | 학술논문

目的探讨结肠镜、腹腔镜联合治疗结直肠良恶性肿瘤在临床应用中的优点.方法2007年6月-2011年1月我科分期收治结直肠良恶性肿瘤患者174例,其中78例行开腹手术,96例行结肠镜、腹腔镜联合手术.观察手术时间、术中出血量、术后镇痛次数、术后排气时间、术后并发症及复发.结果术中出血量双镜组平均50 ml,开腹组平均150 ml;术后镇痛次数双镜组平均0.3次,开腹组平均3次;术后排气时间双镜组<36 h 49例,开腹组0例,双镜组明显优于开腹组(P<0.01).结论双镜联合治疗结直肠良恶性肿瘤较开腹手术优点明显,可作为结直肠良恶性肿瘤的常规手术方法.
목적탐토결장경、복강경연합치료결직장량악성종류재림상응용중적우점.방법2007년6월-2011년1월아과분기수치결직장량악성종류환자174례,기중78례행개복수술,96례행결장경、복강경연합수술.관찰수술시간、술중출혈량、술후진통차수、술후배기시간、술후병발증급복발.결과술중출혈량쌍경조평균50 ml,개복조평균150 ml;술후진통차수쌍경조평균0.3차,개복조평균3차;술후배기시간쌍경조<36 h 49례,개복조0례,쌍경조명현우우개복조(P<0.01).결론쌍경연합치료결직장량악성종류교개복수술우점명현,가작위결직장량악성종류적상규수술방법.
Objective To study the application of combined colonscopy and laparoscopy operation in treatment of benign and malignant colonic or rectal tumor. Methods One hundred and seventy-four patients with benign and malignant colonic or rectal tumor admitted to our department were included in this study. Of these patients, 78 underwent laparotomy and 96 underwent combined colonscopy and laparoscopy operation. Their operation time, intra-operative blood loss, postoperative analgesics-used times, postoperative flatus passing time, postoperative complications and recurrence of the disease were observed. Results The average intra-operative blood loss was 50 ml and 150 ml respectively, the postoperative analgesics-used times was 0.3 and 3 respectively, the average postoperative flatus passing time was<36 h and>36 h respectively, in combined colonscopy and laparoscopy group and laparotomy group. Conclusion The effect of combined colonscopy and laparoscopy operation is better than laparotomy on benign and malignant colonic or rectal tumor.