腹腔镜 TME 与开腹 TME 治疗直肠癌近期疗效和并发症效果观察

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目的:研究分析对直肠癌患者采用腹腔镜和开腹手术下全直肠系膜切除手术治疗的效果,为其临床研究提供有效的理论依据。方法:本次研究中入选的研究对象共40例,根据患者临床期间接受的不同治疗方式,将40例患者分为两组,对照组患者20例,临床期间采用传统开腹手术治疗,观察组20例,临床期间采用腹腔镜下手术治疗,比较两组患者的各项临床指标和并发症情况。结果:经临床治疗可见,观察组患者的手术时间、术中出血量、术后排气时间、住院时间均明显短于对照组,组间比较存在明显差异,差异具有统计学意义,P<0.05;观察两组患者治疗期间的并发症情况,观察组的并发症发生率为10.0%,对照组为30.0%,观察组明显低于对照组,组间比较差异明显,P<0.05。结论:对直肠癌患者采用腹腔镜下全直肠系膜切除手术治疗可有效缩短患者的治疗时间,减少术中出血量,降低并发症的发生率,值得临床重视和推广。 Objective: To study the effect of total mesorectal excision under laparoscopy and laparotomy in patients with rectal cancer, and to provide an effective theoretical basis for its clinical study. Methods: Forty patients were enrolled in this study. Forty patients were divided into two groups according to different treatment methods during the clinical period. Twenty patients in the control group were treated by conventional laparotomy. The observation group Twenty cases were treated with laparoscopic surgery during the clinical period. The clinical indexes and complications of the two groups were compared. Results: The clinical observation showed that the operation time, intraoperative blood loss, postoperative exhaust time and hospitalization time in the observation group were significantly shorter than those in the control group, with significant difference between the two groups (P <0.05) The incidence of complications in the two groups was observed. The incidence of complications in the observation group was 10.0% and that in the control group was 30.0%. The observation group was significantly lower than the control group. The difference between the two groups was significant (P <0.05). Conclusion: Laparoscopic total mesorectal excision in patients with rectal cancer surgery can shorten the treatment time, reduce the amount of intraoperative bleeding and reduce the incidence of complications, deserving clinical attention and promotion.
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