中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
35期
42-44
,共3页
腹腔镜根治术%开腹手术%结肠癌
腹腔鏡根治術%開腹手術%結腸癌
복강경근치술%개복수술%결장암
Laparoscopic radical surgery%Laparotomy%Colon cancer
目的：研究腹腔镜根治术与传统开腹手术治疗结肠癌的临床效果。方法选取本院2012年1月~2014年1月收治的120例结肠癌患者，随机分为实验组(67例)和对照组(53例)，实验组采用腹腔镜根治术，对照组采用传统开腹手术。比较两组的手术时间、术中出血量、术后进食时间、术后排气时间、术后体温恢复时间、术后下床活动时间，评价两组治疗后半年的生活质量。结果实验组手术时间短于对照组，术中出血量少于对照组，差异有统计学意义(P<0.05)。实验组术后进食时间、排气时间、体温恢复时间、下床活动时间均短于对照组，差异有统计学意义(P<0.05或P<0.01)。实验组术后各项生活质量指标均优于对照组，差异有统计学意义(P<0.05)。结论与传统开腹手术比较，腹腔镜根治术治疗结肠癌，患者术后伤口恢复快、住院时间短，可改善术后生活质量。
目的：研究腹腔鏡根治術與傳統開腹手術治療結腸癌的臨床效果。方法選取本院2012年1月~2014年1月收治的120例結腸癌患者，隨機分為實驗組(67例)和對照組(53例)，實驗組採用腹腔鏡根治術，對照組採用傳統開腹手術。比較兩組的手術時間、術中齣血量、術後進食時間、術後排氣時間、術後體溫恢複時間、術後下床活動時間，評價兩組治療後半年的生活質量。結果實驗組手術時間短于對照組，術中齣血量少于對照組，差異有統計學意義(P<0.05)。實驗組術後進食時間、排氣時間、體溫恢複時間、下床活動時間均短于對照組，差異有統計學意義(P<0.05或P<0.01)。實驗組術後各項生活質量指標均優于對照組，差異有統計學意義(P<0.05)。結論與傳統開腹手術比較，腹腔鏡根治術治療結腸癌，患者術後傷口恢複快、住院時間短，可改善術後生活質量。
목적：연구복강경근치술여전통개복수술치료결장암적림상효과。방법선취본원2012년1월~2014년1월수치적120례결장암환자，수궤분위실험조(67례)화대조조(53례)，실험조채용복강경근치술，대조조채용전통개복수술。비교량조적수술시간、술중출혈량、술후진식시간、술후배기시간、술후체온회복시간、술후하상활동시간，평개량조치료후반년적생활질량。결과실험조수술시간단우대조조，술중출혈량소우대조조，차이유통계학의의(P<0.05)。실험조술후진식시간、배기시간、체온회복시간、하상활동시간균단우대조조，차이유통계학의의(P<0.05혹P<0.01)。실험조술후각항생활질량지표균우우대조조，차이유통계학의의(P<0.05)。결론여전통개복수술비교，복강경근치술치료결장암，환자술후상구회복쾌、주원시간단，가개선술후생활질량。
Objective To study the effect of laparoscopic radical surgery and traditional laparotomy in treatment of colon cancer. Methods 120 cases of patients with colon cancer in our hospital from January 2012 to January 2014 were selected,and were divided into experimental group (n=67) and control group (n=53),the experimental group were taken with laparoscopic radical surgery,the control group were taken with traditional laparotomy surgery.The operation time, intraoperative blood loss,postoperative eating time,anus exhaust time,temperature back to normal time,ambulation time of two groups was compared;the quality of life after half a year treatment was evaluated. Results The operation time of experimental group was shorter than that of control group,intraoperative blood loss was less than that of control group, the difference was significant (P<0.05).The postoperative eating time,anus exhaust time,temperature back to normal time,ambulation time of experimental group was shorter than that of control group,the difference was significant (P<0.05 or P<0.01).The quality of life score in the experimental group was higher than that of control group,the difference was significant (P<0.05). Conclusion Compared with traditional laparotomy,laparoscopic radical surgery in treatment of colon cancer can shorten the hospitalized time,the postoperative wound heal fast,can improve the quality of life in patients.
