CAJ | 학술논문

目的：探讨手术治疗结肠癌合并肠梗阻的临床效果以及手术价值。方法回顾性分析36例结肠癌合并肠梗阻患者的临床资料，根据手术方法不同，将患者分为对照组和观察组，各18例。观察组患者经腹腔镜手术治疗，对照组采用开腹手术治疗。比较两组患者的疗效及手术价值。结果观察组患者手术时间、术中出血量、术后排气时间及住院时间均明显少于对照组，差异具有统计学意义(P<0.05)。两组患者手术治疗后，切口疝、切口种植及复发率比较，差异无统计学意义(P>0.05)；而观察组患者的粘连性肠梗阻的发生率为5.56%，明显低于对照组的27.78%，差异具有统计学意义(P<0.05)。结论腹腔镜手术与传统开腹手术在治疗结肠癌合并肠梗阻方面，具有创伤小、并发症少、患者恢复快的优势，更值得临床推广应用。
목적：탐토수술치료결장암합병장경조적림상효과이급수술개치。방법회고성분석36례결장암합병장경조환자적림상자료，근거수술방법불동，장환자분위대조조화관찰조，각18례。관찰조환자경복강경수술치료，대조조채용개복수술치료。비교량조환자적료효급수술개치。결과관찰조환자수술시간、술중출혈량、술후배기시간급주원시간균명현소우대조조，차이구유통계학의의(P<0.05)。량조환자수술치료후，절구산、절구충식급복발솔비교，차이무통계학의의(P>0.05)；이관찰조환자적점련성장경조적발생솔위5.56%，명현저우대조조적27.78%，차이구유통계학의의(P<0.05)。결론복강경수술여전통개복수술재치료결장암합병장경조방면，구유창상소、병발증소、환자회복쾌적우세，경치득림상추엄응용。
Objective To investigate the clinical effect and surgical value of surgical treatment for colon cancer complicated with intestinal obstruction. Methods A retrospective analysis was made on the clinical data of 36 patients of colon cancer complicated with intestinal obstruction. They were divided by different surgical methods into control group and observation group, and each group contained 18 cases. The observation group received laparoscopic surgery, and the control group received laparotomy. Comparisons were made on curative effects and surgical value between the two groups. Results The observation group had much shorter operation time, postoperative exhaust time, hospital stay, and less intraoperative bleeding volume than the control group, and the difference had statistical significance (P<0.05). There were no statistically significant differences of incisional hernia, incision planting and relapse rates after surgery between the two groups (P>0.05). The incidence of adhesive intestinal obstruction was 5.56%in the observation group, which was much lower than 27.78%in the control group, and the difference had statistical significance (P<0.05). Conclusion Compared with traditional laparotomy, laparoscopic surgery contains the advantages of small trauma and few complications with fast rehabilitation in the treatment of colon cancer complicated with intestinal obstruction. It is worthy of clinical promotion and application.