中国医药导报
中國醫藥導報
중국의약도보
China Medical Herald
2015年
29期
81-84
,共4页
外悬吊法腹腔镜%直肠癌%开腹手术
外懸弔法腹腔鏡%直腸癌%開腹手術
외현조법복강경%직장암%개복수술
External suspension laparoscopic%Colorectal cancer%Open surgery
目的：探讨外悬吊法腹腔镜直肠癌根治术的临床效果。方法选取2011年7月~2014年1月辽阳市中心医院收治的97例直肠癌患者作为临床研究对象，分为对照组(45例)和研究组(52例)。研究组患者采用外悬吊法腹腔镜直肠根治术进行治疗，对照组患者采用传统开腹手术进行治疗。对两组患者术中相关指标、术后预后情况以及并发症发生情况进行比较分析。结果研究组患者切口长度[(4.68±0.52)cm]、术中出血量[(65.82±9.37)mL]以及手术时间[(137.15±42.26)min]与对照组[(14.16±3.53)cm、(108.39±24.21)mL、(159.88±51.13)min]比较，均明显减少，差异有统计学意义(P<0.05)；研究组患者镇痛时间[(2.27±0.76)d]、排气时间[(2.41±0.76)d]、导尿管留置时间[(3.47±1.09)d]以及住院时间[(12.03±3.26)d]与对照组[(3.46±0.62)、(2.93±0.57)、(6.03±1.36)、(16.25±3.31)d]比较，均明显缩短，差异有统计学意义(P<0.05)；研究组患者切口感染发生率为5.77%，与对照组(15.56%)比较，明显降低，差异有统计学意义(P<0.05)。而研究组患者吻合口出血、吻合口瘘、肠梗阻、肺部感染发生率为7.69%、3.85%、7.69%、5.77%，对照组患者吻合口出血、吻合口瘘、肠梗阻、肺部感染发生率为6.67%、2.22%、15.56%、4.44%，两组比较差异无统计学意义(P跃0.05)。结论外悬吊法腹腔镜直肠癌根治术能够进一步改善患者术后相关指标，促进术后恢复，降低并发症的发生，可作为一种安全有效的直肠癌治疗方案而进一步推广应用。
目的：探討外懸弔法腹腔鏡直腸癌根治術的臨床效果。方法選取2011年7月~2014年1月遼暘市中心醫院收治的97例直腸癌患者作為臨床研究對象，分為對照組(45例)和研究組(52例)。研究組患者採用外懸弔法腹腔鏡直腸根治術進行治療，對照組患者採用傳統開腹手術進行治療。對兩組患者術中相關指標、術後預後情況以及併髮癥髮生情況進行比較分析。結果研究組患者切口長度[(4.68±0.52)cm]、術中齣血量[(65.82±9.37)mL]以及手術時間[(137.15±42.26)min]與對照組[(14.16±3.53)cm、(108.39±24.21)mL、(159.88±51.13)min]比較，均明顯減少，差異有統計學意義(P<0.05)；研究組患者鎮痛時間[(2.27±0.76)d]、排氣時間[(2.41±0.76)d]、導尿管留置時間[(3.47±1.09)d]以及住院時間[(12.03±3.26)d]與對照組[(3.46±0.62)、(2.93±0.57)、(6.03±1.36)、(16.25±3.31)d]比較，均明顯縮短，差異有統計學意義(P<0.05)；研究組患者切口感染髮生率為5.77%，與對照組(15.56%)比較，明顯降低，差異有統計學意義(P<0.05)。而研究組患者吻閤口齣血、吻閤口瘺、腸梗阻、肺部感染髮生率為7.69%、3.85%、7.69%、5.77%，對照組患者吻閤口齣血、吻閤口瘺、腸梗阻、肺部感染髮生率為6.67%、2.22%、15.56%、4.44%，兩組比較差異無統計學意義(P躍0.05)。結論外懸弔法腹腔鏡直腸癌根治術能夠進一步改善患者術後相關指標，促進術後恢複，降低併髮癥的髮生，可作為一種安全有效的直腸癌治療方案而進一步推廣應用。
목적：탐토외현조법복강경직장암근치술적림상효과。방법선취2011년7월~2014년1월료양시중심의원수치적97례직장암환자작위림상연구대상，분위대조조(45례)화연구조(52례)。연구조환자채용외현조법복강경직장근치술진행치료，대조조환자채용전통개복수술진행치료。대량조환자술중상관지표、술후예후정황이급병발증발생정황진행비교분석。결과연구조환자절구장도[(4.68±0.52)cm]、술중출혈량[(65.82±9.37)mL]이급수술시간[(137.15±42.26)min]여대조조[(14.16±3.53)cm、(108.39±24.21)mL、(159.88±51.13)min]비교，균명현감소，차이유통계학의의(P<0.05)；연구조환자진통시간[(2.27±0.76)d]、배기시간[(2.41±0.76)d]、도뇨관류치시간[(3.47±1.09)d]이급주원시간[(12.03±3.26)d]여대조조[(3.46±0.62)、(2.93±0.57)、(6.03±1.36)、(16.25±3.31)d]비교，균명현축단，차이유통계학의의(P<0.05)；연구조환자절구감염발생솔위5.77%，여대조조(15.56%)비교，명현강저，차이유통계학의의(P<0.05)。이연구조환자문합구출혈、문합구루、장경조、폐부감염발생솔위7.69%、3.85%、7.69%、5.77%，대조조환자문합구출혈、문합구루、장경조、폐부감염발생솔위6.67%、2.22%、15.56%、4.44%，량조비교차이무통계학의의(P약0.05)。결론외현조법복강경직장암근치술능구진일보개선환자술후상관지표，촉진술후회복，강저병발증적발생，가작위일충안전유효적직장암치료방안이진일보추엄응용。
Objective To dicuss Clinical effect of external suspension laparoscopic resection surgery for colorectal cancer. Methods From July 2011 to January 2014, in Liaoyang Central Hospital, 97 patients with colorectal cancer were selected as the research subjects, and the patients were divided into control group (n=45) and study group (n=52). The patients in study group were treated with external suspension laparoscopic resection surgery for treatment, the pa-tients in control group were treated with traditional open surgery for treatment. The related indicators during surgery, postoperative prognosis and complications of the patients in two groups were compared and analyzed. Results In study group, the incision length [(4.68±0.52)cm], blood loss [(65.82±9.37)mL] and operative time [(137.15±42.26)min] were less than those in control group [(14.16±3.53)cm, (108.39±24.21)mL, (159.88±51.13)min], the differences were statisti-cally significant (P< 0.05). The analgesic time [(2.27±0.76)d], exhaust time [(2.41±0.76)d], catheterization time [(3.47±1.09) d] and hospital stay [(12.03±3.26)d] in study group were less than those in control group [(3.46±0.62), (2.93±0.57), (6.03±1.36), (16.25±3.31)d], the differences were statistically significant (P<0.05). The ratio of incision infection in study group (5.77%) was lass than that in control group (15.56%), the difference was statistically significant (P<0.05). The incidence of anastomotic bleeding, anastomotic fistula, intestinal obstruction, and lung infections in study group were 7.69%, 3.85%, 7.69% and 5.77%, those in control group were 6.67%, 2.22%, 15.56% and 4.44%, two groups were compared, the differences were not statistically significant (P>0.05). Conclusion External suspension la-paroscopic resection surgery can further improve related indicators, promote postoperative recovery, reduced incidence of complications for patients with colorectal cancer. It can be used as safe and effective treatment options for patients with colorectal cancer to further application.
