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目的比较腹腔镜手术与开腹直肠前切除术治疗直肠癌的临床效果。方法选取沧州市人民医院2012年12月—2016年6月收治的直肠癌患者90例,随机分为对照组和观察组,各45例。对照组患者采用开腹直肠前切除术治疗,观察组患者采用腹腔镜手术治疗。比较两组患者的临床疗效、术中出血量及术后肛门排气时间,并观察两组患者术后并发症发生情况。结果观察组患者治疗总有效率高于对照组(P<0.05)。观察组患者术中出血量少于对照组,术后肛门排气时间短于对照组(P<0.05)。观察组患者并发症发生率低于对照组(P<0.05)。结论采用腹腔镜手术治疗直肠癌临床疗效优于开腹直肠前切除术,其可减少术中出血量及术后并发症,促进疾病快速恢复。
Objective To compare the clinical effects of laparoscopic surgery and open rectocerectomy in the treatment of rectal cancer. Methods 90 patients with rectal cancer admitted to Cangzhou People’s Hospital from December 2012 to June 2016 were randomly divided into control group and observation group, with 45 cases in each group. Patients in the control group were treated with open rectocerectomy, while those in the observation group were treated with laparoscopic surgery. The clinical curative effect, intraoperative blood loss and postoperative anal exhaust time were compared between the two groups. The postoperative complications of the two groups were observed. Results The total effective rate of observation group was higher than that of control group (P <0.05). The bleeding volume in the observation group was less than that in the control group, and the anal exhaust time was shorter than that in the control group (P <0.05). The complication rate in observation group was lower than that in control group (P <0.05). Conclusion The clinical effect of laparoscopic surgery for rectal cancer is better than that of open rectocerectomy. It can reduce intraoperative blood loss and postoperative complications and promote the rapid recovery of the disease.