中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
1期
57-59
,共3页
底卫东%贺艳平%徐钧%李江怀
底衛東%賀豔平%徐鈞%李江懷
저위동%하염평%서균%리강부
直肠癌%腹腔镜%根治术
直腸癌%腹腔鏡%根治術
직장암%복강경%근치술
Rectal cancer%Laparoscope%Radical prostatectomy
目的 比较分析腹腔镜直肠癌根治术与开腹根治术的疗效.方法 选择直肠癌患者106例,将其随机分为两组,腹腔镜组48例采用腹腔镜直肠癌根治术;开腹组58例采用开腹直肠癌根治术.分别记录两组的手术时间、术中出血量、术后排气时间、术后住院时间、淋巴结清扫数目、术后总并发症发生率等疗效指标.结果 在手术时间、淋巴清扫数目方面,腹腔镜组与开腹组相比差异无统计学意义(P＞0.05).但在术中出血量、术后排气时间、术后住院时间、术后总并发症的发生率方面,腹腔镜组明显减少,差异有统计学意义(P＜0.05).结论 腹腔镜直肠癌根治术与开腹手术相比,肿瘤根治性相似,并没有延长手术时间,其中近期疗效优于开腹手术,减少了总并发症的发生率,具有术中出血少、恢复快、住院时间短的优点,提高了患者术后的生存质量.
目的 比較分析腹腔鏡直腸癌根治術與開腹根治術的療效.方法 選擇直腸癌患者106例,將其隨機分為兩組,腹腔鏡組48例採用腹腔鏡直腸癌根治術;開腹組58例採用開腹直腸癌根治術.分彆記錄兩組的手術時間、術中齣血量、術後排氣時間、術後住院時間、淋巴結清掃數目、術後總併髮癥髮生率等療效指標.結果 在手術時間、淋巴清掃數目方麵,腹腔鏡組與開腹組相比差異無統計學意義(P＞0.05).但在術中齣血量、術後排氣時間、術後住院時間、術後總併髮癥的髮生率方麵,腹腔鏡組明顯減少,差異有統計學意義(P＜0.05).結論 腹腔鏡直腸癌根治術與開腹手術相比,腫瘤根治性相似,併沒有延長手術時間,其中近期療效優于開腹手術,減少瞭總併髮癥的髮生率,具有術中齣血少、恢複快、住院時間短的優點,提高瞭患者術後的生存質量.
목적 비교분석복강경직장암근치술여개복근치술적료효.방법 선택직장암환자106례,장기수궤분위량조,복강경조48례채용복강경직장암근치술;개복조58례채용개복직장암근치술.분별기록량조적수술시간、술중출혈량、술후배기시간、술후주원시간、림파결청소수목、술후총병발증발생솔등료효지표.결과 재수술시간、림파청소수목방면,복강경조여개복조상비차이무통계학의의(P＞0.05).단재술중출혈량、술후배기시간、술후주원시간、술후총병발증적발생솔방면,복강경조명현감소,차이유통계학의의(P＜0.05).결론 복강경직장암근치술여개복수술상비,종류근치성상사,병몰유연장수술시간,기중근기료효우우개복수술,감소료총병발증적발생솔,구유술중출혈소、회복쾌、주원시간단적우점,제고료환자술후적생존질량.
Objective To analyze the curative effects of laparoscopic colorectal cancer radical prostatectomy and open radical prostatectomy.Methods A total of 106 cases of colorectal cancer were randomly divided into two groups,the laparoscopic group (48 cases) had laparoscopic rectal cancer radical operation,the laparotomy group(58 cases) had open rectal cancer radical operation.The operation time,intraoperative blood loss,postoperative exhaust time,postoperative hospital stay,number of lymph node cleaning,and postoperative complication rate,total curative effect of the two groups were recorded.Results In terms of operation time,number of lymph node cleaning,there was no statistically significant difference between the two groups (P ＞ 0.05).But in the intraoperative blood loss,postoperative exhaust time,postoperative hospital stay,the total incidence of postoperative complications of the laparoscopic group were significantly reduced,the differences were statistically significant(P ＜ 0.05).Conclusions Compared with open surgery,laparoscopic rectal cancer radical tumor radical operation is similar,and no extend the operation time,the recent curative effect is superior to laparotomy,can reduce the total incidence of complications,with less intraoperative bleeding,rapid recovery,shorter hospitalization time,can improve the postoperative survival quality of patients.
