CAJ | 학술논문

目的探讨腹腔镜联合结肠镜治疗复杂结直肠息肉的优势.方法通过回顾性研究2010年3月至2013年8月新乡市中心医院普外二科收治的复杂结直肠手术病例,按手术方式不同分为研究组(23例)与对照组(18例),以腹腔镜联合结肠镜结直肠息肉切除术组为研究组,以开腹结直肠息肉切除术组为对照组,记录两组的手术时间、住院时间.结果研究组手术时间40 ～ 155 min,平均80 min,住院时间4～11 d.对照组手术时间80～135 min,住院时间10 ～16 d.结论腹腔镜联合结肠镜治疗结直肠息肉与传统开腹手术相比,住院时间明显缩短(P＜0.05),而手术时间无明显延长(P＞0.05).
목적 탐토복강경연합결장경치료복잡결직장식육적우세.방법 통과회고성연구2010년3월지2013년8월신향시중심의원보외이과수치적복잡결직장수술병례,안수술방식불동분위연구조(23례)여대조조(18례),이복강경연합결장경결직장식육절제술조위연구조,이개복결직장식육절제술조위대조조,기록량조적수술시간、주원시간.결과 연구조수술시간40 ～ 155 min,평균80 min,주원시간4～11 d.대조조수술시간80～135 min,주원시간10 ～16 d.결론복강경연합결장경치료결직장식육여전통개복수술상비,주원시간명현축단(P＜0.05),이수술시간무명현연장(P＞0.05).
Objective To investigate the advantages of laparoscopic surgery combined with colonoscope for complicated colorectal polyp.Methods From March 2010 to August 2013,the clinical data of 41 patients with complicated colorectal polyp were retrospectively analyzed.The patients in experimental group accepted laparoscopic surgery combined with colonoscope for complicated colorectal polyp,and the patients in control group accepted the excision by laparotomy.The operating time and the length of hospital stay was recorded.Results The operation time varied from 40 min to 155 min,and the length of hospital stay lasted for 4 days to 11 days in experimental group.The operating time varied from 80 min to 135 min,and the length of hospital stay from 10 days to 16 days in control group.Conclusions Laparoscopic surgery combined with colonoscope for complicated colorectal polyp can shorten the length of hospital stay (P ＜ 0.05),without prolong the operating time obviously.