外科研究与新技术
外科研究與新技術
외과연구여신기술
Surgical research and new technique
2015年
2期
75-77
,共3页
冯树开%关丽清%王军%徐托%林运年
馮樹開%關麗清%王軍%徐託%林運年
풍수개%관려청%왕군%서탁%림운년
腹腔镜低位直肠癌保肛手术%开腹手术%低位直肠癌
腹腔鏡低位直腸癌保肛手術%開腹手術%低位直腸癌
복강경저위직장암보항수술%개복수술%저위직장암
Laparoscopic assisted sphincter-preserving surgery%Open surgery%Low rectal cancer
目的 观察腹腔镜低位直肠癌保肛手术与传统开腹手术治疗低位直肠癌的临床疗效.方法 90例低位直肠癌根据手术方案不同分为研究组与对照组,研究组行腹腔镜低位直肠癌保肛手术,对照组行传统开腹手术.观察、对比两组的术中出血量、手术时间、保肛率、术中及术后输血率、术后肠道功能恢复时间、住院时间和术后并发症.结果 研究组与对照组比较,术中出血量(297.3±185.3)ml vs.(370.1±198.3)ml,手术时间(221.3±51.3)min vs.(245.3±55.0)min,术中及术后输血率2.22%,对照组术中比较均有显著性差异(P<0.05);与对照组比较研究组术后肠道功能恢复时间[(3.8±1.7)d vs.(2.3±1.6)d,P<0.05]和术后并发症发生率[35.56%vs. 15.56%,P<0.05].结论腹腔镜低位直肠癌保肛手术治疗低位直肠癌的临床疗效优于传统开腹手术,损伤小,肠道功能恢复快,并发症较少,值得推广.
目的 觀察腹腔鏡低位直腸癌保肛手術與傳統開腹手術治療低位直腸癌的臨床療效.方法 90例低位直腸癌根據手術方案不同分為研究組與對照組,研究組行腹腔鏡低位直腸癌保肛手術,對照組行傳統開腹手術.觀察、對比兩組的術中齣血量、手術時間、保肛率、術中及術後輸血率、術後腸道功能恢複時間、住院時間和術後併髮癥.結果 研究組與對照組比較,術中齣血量(297.3±185.3)ml vs.(370.1±198.3)ml,手術時間(221.3±51.3)min vs.(245.3±55.0)min,術中及術後輸血率2.22%,對照組術中比較均有顯著性差異(P<0.05);與對照組比較研究組術後腸道功能恢複時間[(3.8±1.7)d vs.(2.3±1.6)d,P<0.05]和術後併髮癥髮生率[35.56%vs. 15.56%,P<0.05].結論腹腔鏡低位直腸癌保肛手術治療低位直腸癌的臨床療效優于傳統開腹手術,損傷小,腸道功能恢複快,併髮癥較少,值得推廣.
목적 관찰복강경저위직장암보항수술여전통개복수술치료저위직장암적림상료효.방법 90례저위직장암근거수술방안불동분위연구조여대조조,연구조행복강경저위직장암보항수술,대조조행전통개복수술.관찰、대비량조적술중출혈량、수술시간、보항솔、술중급술후수혈솔、술후장도공능회복시간、주원시간화술후병발증.결과 연구조여대조조비교,술중출혈량(297.3±185.3)ml vs.(370.1±198.3)ml,수술시간(221.3±51.3)min vs.(245.3±55.0)min,술중급술후수혈솔2.22%,대조조술중비교균유현저성차이(P<0.05);여대조조비교연구조술후장도공능회복시간[(3.8±1.7)d vs.(2.3±1.6)d,P<0.05]화술후병발증발생솔[35.56%vs. 15.56%,P<0.05].결론복강경저위직장암보항수술치료저위직장암적림상료효우우전통개복수술,손상소,장도공능회복쾌,병발증교소,치득추엄.
Objective To observe the clinical efficacy of laparoscopic assisted sphincter-preserving surgery and conventional open surgery in low rectal cancer. Method 90 patients with low rectal cancer were divided into research group and control group according to different operative plans. The research group adopted the laparoscopic assisted sphincter-preserving surgery and control group adopted the conventional open surgery. Intraoperative blood loss, operation time,preserving rate of sphincter,intraoperative/postoperative transfusion rate were observed. The postoperative recovery time of intestinal function,hospitalization time as well as postoperative complications of two groups were compared. Result Intraoperative blood loss,operation time and intraoperative/postoperative transfusion rate in research group were (297.3 ± 185.3) ml,(221.3 ± 51.3) min and 2.22%while intraoperative blood loss,operation time and intraoperative/postoperative transfusion rate in control group were (370.1 ± 198.3)ml,(245.3 ± 55.0)min and 13.33%(P<0.05);Postoperative recovery time of intestinal function [(2.3±1.6)d vs. (3.8±1.7)d,P<0.05] and the incidence rate of postoperative complications [15.56%vs. 35.56%,P<0.05] in research group were significantly lower than that of control group. Conclusion For low rectal cancer,the laparoscopic assisted sphincter-preserving surgery have a better clinical efficacy,less injury,faster intestinal function recovery and fewer complications,is thus worthy of promotion.
