CAJ | 학술논문

目的：探索腹腔镜手术治疗直肠癌的临床疗效及安全性。方法60例直肠癌患者按不同手术方案随机分为观察组(腹腔镜手术治疗)36例和对照组(开腹手术治疗)24例，术后随访1年，对患者术中各项指标及术后并发症实施观察并记录，并进行分析比较。结果观察组手术用时长于对照组(P<0.05)；观察组术中出血量、术后肛门首次排气时间及术后住院时间均优于对照组(P<0.05)；观察组的术后伤口感染及吻合口瘘发生率明显低于对照组，差异有统计学意义(P<0.05)，观察组并发症的总发生率明显低于对照组，差异有统计学意义(P<0.05)。结论腹腔镜用于治疗直肠癌术中出血少，术后恢复快，且并发症少，值得临床推广。
목적：탐색복강경수술치료직장암적림상료효급안전성。방법60례직장암환자안불동수술방안수궤분위관찰조(복강경수술치료)36례화대조조(개복수술치료)24례，술후수방1년，대환자술중각항지표급술후병발증실시관찰병기록，병진행분석비교。결과관찰조수술용시장우대조조(P<0.05)；관찰조술중출혈량、술후항문수차배기시간급술후주원시간균우우대조조(P<0.05)；관찰조적술후상구감염급문합구루발생솔명현저우대조조，차이유통계학의의(P<0.05)，관찰조병발증적총발생솔명현저우대조조，차이유통계학의의(P<0.05)。결론복강경용우치료직장암술중출혈소，술후회복쾌，차병발증소，치득림상추엄。
Objective To explore the clinical effect and safety of laparoscopic surgery in the treatment of rectal cancer. Methods A total of 60 patients with rectal cancer were divided by different surgical methods into observation group (laparoscopic surgery treatment) with 36 cases and control group (laparotomy treatment) with 24 cases. Follow-up lasted for 1 year after operation. Observation and records were made on intraoperative indexes and postoperative complications for analysis and comparison. Results Operation time was longer in the observation group than in the control group (P<0.05). The observation group had better intraoperative bleeding volume, postoperative first exhaust time, and postoperative hospital stay then the control group (P<0.05). Incidences of postoperative incision infection and anastomotic fistula were much lower in the observation group than in the control group, and their differences had statistical significance (P<0.05). The observation group also had much lower total incidence of complications than the control group, and their difference was statistically significant (P<0.05). Conclusion Implement of laparoscope in rectal cancer surgery has few bleeding, quick postoperative recovery, and few complications. This method is worth clinical promotion.