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目的比较腹腔镜辅助与开腹结直肠癌根治术治疗结直肠癌的临床疗效,并根据结果进一步分析腹腔镜辅助结直肠癌根治术存在的问题以及特有的优势。方法 120例结直肠癌患者,将其随机分为观察组和对照组,各60例。观察组患者进行腹腔镜辅助结直肠癌根治术进行治疗,对照组患者进行开腹结直肠癌根治术进行治疗。观察两组患者的相关临床指标以及并发症、远处转移情况。结果观察组术中出血量、术后排气时间、术后排便时间、开始进流食时间、住院时间、切口长度均优于对照组,差异具有统计学意义(P<0.05)。观察组并发症发生率为5.0%,低于对照组的30.0%,差异具有统计学意义(P<0.05);观察组远处转移率为1.7%,低于对照组的11.7%,差异具有统计学意义(P<0.05)。结论腹腔镜辅助结直肠癌根治术治疗结直肠癌的效果明显,安全有效,可以减轻患者的痛苦,在临床上是值得推广使用的。
Objective To compare the clinical efficacy of laparoscopic-assisted radical mastectomy and open radical resection of colorectal cancer in the treatment of colorectal cancer. According to the results, the problems and unique advantages of laparoscopic-assisted radical mastectomy for colorectal cancer were further analyzed. Methods 120 cases of colorectal cancer patients were randomly divided into observation group and control group, each 60 cases. Patients in the observation group were treated with laparoscopic-assisted radical resection of colorectal cancer and patients in the control group were treated by open radical resection of colorectal cancer. The two groups of patients with clinical indicators and complications, distant metastasis. Results The intraoperative blood loss, postoperative exhaust time, postoperative defecation time, inflow feeding time, length of hospital stay and incision length in the observation group were all better than those in the control group (P <0.05). The incidence of complications in the observation group was 5.0%, which was lower than that in the control group (30.0%), the difference was statistically significant (P <0.05). The distant metastasis rate in the observation group was 1.7%, which was lower than that in the control group (11.7% Significance (P <0.05). Conclusions Laparoscopic assisted colorectal cancer radical treatment of colorectal cancer is effective, safe and effective, can alleviate the suffering of patients, is clinically worthy of promotion.