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目的 :比较腹腔镜与开腹直肠全系膜切除术治疗低位直肠癌的临床疗效。方法 :按照随机方法选择在我院接受治疗的102例直肠癌患者,根据临床手术方法将患者分为两组,其中对照组患者接受传统开腹手术,观察组患者则在腹腔镜的辅助下完成低位直肠癌手术治疗,比较两组患者临床治疗效果。结果:观察组患者手术时间、术中出血量、住院时间等手术指标均明显比对照组短,两组差异显著(P<0.05);观察组患者术后并发症发生率为3.9%,显著低于对照组(21.6%),两组差异具有统计学意义(P<0.05)。结论:在腹腔镜的有效辅助下对直肠癌患者开展低位手术治疗,可明显提高手术治疗效果,并减少术后并发症,值得在临床中进行推广。
Objective: To compare the clinical efficacy of laparoscopic and open total mesorectal excision for the treatment of low rectal cancer. Methods: A total of 102 patients with rectal cancer who were treated in our hospital were selected according to a randomized method. The patients were divided into two groups according to the clinical operation method. The patients in the control group underwent traditional laparotomy. The patients in the observation group were assisted by laparoscopy Surgical treatment of low rectal cancer, the clinical efficacy of two groups were compared. Results: The operation indexes such as operation time, intraoperative blood loss and hospital stay in observation group were significantly shorter than those in control group (P <0.05). The incidence of postoperative complications in observation group was significantly lower than that in control group In the control group (21.6%), the difference between the two groups was statistically significant (P <0.05). Conclusion: The low-lying surgical treatment of patients with rectal cancer with the help of laparoscopy can significantly improve the surgical treatment and reduce the postoperative complications, which is worth to be promoted in the clinic.