CAJ | 학술논문

目的：评价腹腔镜对比开腹手术治疗结肠癌的近期临床疗效。方法：分析兰州市第二人民医院2012年1月2013年1月期间完成开腹治疗结肠癌（开腹手术组，45例）和腹腔镜治疗结肠癌（腹腔镜组，46例）患者的临床数据，分析2组患者的切口长度、手术持续时间、手术期间出血量、手术后住院时间、手术后伤口感染发生率、手术后止痛药使用人次、排气时间和平均淋巴结清扫数目等。采用SPSS19.0统计软件进行统计分析。结果：腹腔镜组和开腹手术组在切口长度、手术持续时间、手术后止痛药使用人次、手术后住院时间和手术期间出血量等方面差异有统计学意义（P<0.05），但在排气时间、手术后伤口感染发生率和平均淋巴结清扫数目等方面两者差异无统计学意义（P>0.05）。结论：与开腹手术治疗结肠癌相比，腹腔镜手术质量结直肠癌是安全可行的，能达到与开腹手术相同的淋巴结清扫范围，且具有对患者创伤小、手术中出血少、手术后恢复快等优点，但远期效果还需要进一步研究。
목적：평개복강경대비개복수술치료결장암적근기림상료효。방법：분석란주시제이인민의원2012년1월2013년1월기간완성개복치료결장암（개복수술조，45례）화복강경치료결장암（복강경조，46례）환자적림상수거，분석2조환자적절구장도、수술지속시간、수술기간출혈량、수술후주원시간、수술후상구감염발생솔、수술후지통약사용인차、배기시간화평균림파결청소수목등。채용SPSS19.0통계연건진행통계분석。결과：복강경조화개복수술조재절구장도、수술지속시간、수술후지통약사용인차、수술후주원시간화수술기간출혈량등방면차이유통계학의의（P<0.05），단재배기시간、수술후상구감염발생솔화평균림파결청소수목등방면량자차이무통계학의의（P>0.05）。결론：여개복수술치료결장암상비，복강경수술질량결직장암시안전가행적，능체도여개복수술상동적림파결청소범위，차구유대환자창상소、수술중출혈소、수술후회복쾌등우점，단원기효과환수요진일보연구。
Objective: To evaluate the effectiveness of laparoscopy versus open surgery for colon cancer. Methods: From January 2012 to January 2013,a series of 45 patients were undertook open surgy (open group),46 patients were undertook laparoscopic (laparoscopic group),the related outcome of two groups were compared in which length of incision,surgical duration,intraoperative <br> blood loss,the number of wound infection,the situ ation of postoperative pain,exhaust time,numbers of harvested lymph nodes were respectively analyzed by SPSS19.0 software.Results: There were significant difference between two groups in length of incision, surgical duration,the situation of postoperative pain,hospital stay and intraoperative blood loss (P<0.05);but no difference in exhaust time,wound infection and numbers of harvested lymph nodes (P>0.05).Conclusion: Comparing open surgery,laparoscopy is a safe, feasible,effective and getting same extent in lymph node dissection and minimally invasive technique with short term outcome for colon cancer patients,but the long term effect of laparoscopy still needs further confirmation.