CAJ | 학술논문

目的：探讨腹腔镜腹会阴联合手术治疗直肠癌与传统手术治疗效果。方法选取2012年7月～2013年10月我院收治的直肠癌患者85例，随机分为观察组43例和对照组42例。观察两组患者平均手术时间、术中出血量、术后住院天数及术后恢复情况，术后并发症发生率。结果观察组术中出血量、手术时间及住院天数皆少于对照组，两组比较，差异有统计学意义（P＜0.05）。观察组的排气时间，引流管拔出时间，进食时间皆显著低于对照组，但住院费用高于对照组，两组比较差异有统计学意义（P均＜0.05）。观察组并发症发生率为9.30%，对照组为33.33%，两组比较差异有统计学意义（P＜0.05）。结论腹腔镜腹会阴联合手术治疗直肠癌临床疗效显著，较为安全、可靠，值得在临床推广应用。
목적：탐토복강경복회음연합수술치료직장암여전통수술치료효과。방법선취2012년7월～2013년10월아원수치적직장암환자85례，수궤분위관찰조43례화대조조42례。관찰량조환자평균수술시간、술중출혈량、술후주원천수급술후회복정황，술후병발증발생솔。결과관찰조술중출혈량、수술시간급주원천수개소우대조조，량조비교，차이유통계학의의（P＜0.05）。관찰조적배기시간，인류관발출시간，진식시간개현저저우대조조，단주원비용고우대조조，량조비교차이유통계학의의（P균＜0.05）。관찰조병발증발생솔위9.30%，대조조위33.33%，량조비교차이유통계학의의（P＜0.05）。결론복강경복회음연합수술치료직장암림상료효현저，교위안전、가고，치득재림상추엄응용。
Objective To investigate the therapy effect of the laparoscopic abdominal perineal surgery and traditional surgery in the treatment of rectal cancer. Methods 85 cases of colorectal cancer in our hospital July 2012 to October 2013 selected were randomly divided into an observation group with 42 cases and a control group with 43 cases. The mean operative time, blood loss, postoperative hospital stay and postoperative recovery, incidence of postoperative complications were observed. Results The blood loss, operative time and hospital stay in the observation group were less than that in the control group, the difference was statistically significant (P<0.05). Exhaust time, the drainage tube pulled out of time, eating time of the observation group were significantly lower than the control group, but the cost of hospitalization was higher than the control group, the difference was statistically significant (P < 0.05). Complications occurred rate in the observation group was 9.30%, 33.33% in the control group, the difference was statistically significant (P < 0.05). Conclusion Laparoscopic surgery for colorectal cancer abdominal perineal has significant clinical effect, is more secure, reliable, worthy of clinical application.