中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
35期
130-132
,共3页
纳米碳%腹腔镜%直肠癌%疗效
納米碳%腹腔鏡%直腸癌%療效
납미탄%복강경%직장암%료효
Nano-carbon%Laparoscopy%Colorectal cancer%Efficacy
目的：探究以纳米碳作为手术时的示踪剂，利用腹腔镜进行中低位直肠癌手术进行治疗的效果。方法：以2006年6月-2012年6月的36例利用纳米碳引导下腹腔镜中低位直肠癌根治术进行治疗的患者为治疗组，选取同期54例采用腹腔镜下中低位直肠癌根治术进行治疗的患者为对照组。对两组患者的治疗效果进行统计并对比分析。结果：治疗组患者手术时间、术中出血量、胃肠道恢复时间短于对照组，差异有统计学意义（P<0.05），肿块距下缘距离两组比较差异无统计学意义（P>0.05）；治疗组患者平均检获的淋巴结数（13.77±3.35）多于对照组，平均小于5 cm的淋巴结数量（9.22±1.34）明显多于对照组，平均阳性淋巴结检获数（3.68±0.93）多于对照组，差异均有统计学意义（P<0.05）；术后治疗组患者并发症发生率为8.33%，对照组并发症发生率为11.11%，两组比较差异无统计学意义（字2=1.018，P>0.05）。结论：利用纳米碳引导腹腔镜中低位直肠癌根治术综合效果较好，无明显并发症产生。
目的：探究以納米碳作為手術時的示蹤劑，利用腹腔鏡進行中低位直腸癌手術進行治療的效果。方法：以2006年6月-2012年6月的36例利用納米碳引導下腹腔鏡中低位直腸癌根治術進行治療的患者為治療組，選取同期54例採用腹腔鏡下中低位直腸癌根治術進行治療的患者為對照組。對兩組患者的治療效果進行統計併對比分析。結果：治療組患者手術時間、術中齣血量、胃腸道恢複時間短于對照組，差異有統計學意義（P<0.05），腫塊距下緣距離兩組比較差異無統計學意義（P>0.05）；治療組患者平均檢穫的淋巴結數（13.77±3.35）多于對照組，平均小于5 cm的淋巴結數量（9.22±1.34）明顯多于對照組，平均暘性淋巴結檢穫數（3.68±0.93）多于對照組，差異均有統計學意義（P<0.05）；術後治療組患者併髮癥髮生率為8.33%，對照組併髮癥髮生率為11.11%，兩組比較差異無統計學意義（字2=1.018，P>0.05）。結論：利用納米碳引導腹腔鏡中低位直腸癌根治術綜閤效果較好，無明顯併髮癥產生。
목적：탐구이납미탄작위수술시적시종제，이용복강경진행중저위직장암수술진행치료적효과。방법：이2006년6월-2012년6월적36례이용납미탄인도하복강경중저위직장암근치술진행치료적환자위치료조，선취동기54례채용복강경하중저위직장암근치술진행치료적환자위대조조。대량조환자적치료효과진행통계병대비분석。결과：치료조환자수술시간、술중출혈량、위장도회복시간단우대조조，차이유통계학의의（P<0.05），종괴거하연거리량조비교차이무통계학의의（P>0.05）；치료조환자평균검획적림파결수（13.77±3.35）다우대조조，평균소우5 cm적림파결수량（9.22±1.34）명현다우대조조，평균양성림파결검획수（3.68±0.93）다우대조조，차이균유통계학의의（P<0.05）；술후치료조환자병발증발생솔위8.33%，대조조병발증발생솔위11.11%，량조비교차이무통계학의의（자2=1.018，P>0.05）。결론：이용납미탄인도복강경중저위직장암근치술종합효과교호，무명현병발증산생。
Objective:To investigate clinical effect analysis of nanocarbon guided laparoscopic surgery applied in low colorectal cancer,to provide a reference for clinical treatment.Method:36 cases of patients with colorectal cancer were selected from June 2006 to June 2012,they were implemented with lower use of nano-carbon boot,they were set as treatment group,54 cases in the same period were selected as control group,they were implemented with low adoption of laparoscopic.Two groups of patients were compared on treatment results.Result:Operative time,blood loss,gastrointestinal recovery time in treatment group were shorter than those of the control group,the differences were statistically significant(P<0.05),the distance tumor from the lower edge of two groups was not statistically significant (P>0.05);the average number of lymph nodes in treatment group was(13.77±3.35),more than the control group,the mean number of lymph nodes smaller than 5 cm was(9.22±1.34),significantly more than the control group,the mean number of positive lymph nodes were(3.68±0.93),more in the control group,the differences were statistically significant above comparison(P<0.05);postoperative complication rate in treatment group was 8.33%,complication rate in the control group was 11.11%,the difference was not statistically significant(χ2=1.018,P>0.05).Conclusion:The use of nanotechnology in low carbon guided laparoscopic colorectal cancer resection has good clinical effect and safety.
