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目的观察腹腔镜技术在消化道肿瘤手术中的应用效果。方法选取63例消化道肿瘤患者作为观察对象,根据手术方法分组,采用腹腔镜手术患者31例作为观察组,采用传统开腹手术患者32例作为对照组,观察术中切口长度、出血量、清扫淋巴结数以及术后情况。结果观察组切口长度短于对照组,术中出血量小于对照组,差异均有统计学意义(P<0.05)。2组标本长度及清扫淋巴结个数比较差异无统计学意义(P>0.05)。观察组术后排气时间、下床时间、住院时间均较对照组明显缩短,差异均有统计学意义(P<0.05)。观察组术后镇痛率明显低于对照组,差异有统计学意义(P<0.05)。术后2组肠梗阻发生率比较差异无统计学意义(P>0.05)。结论腹腔镜技术在消化道肿瘤手术中应用,其清除淋巴效果与开腹手术基本相同,采用腹腔镜技术具有切口小、降低镇痛率、减少出血量的优势,能够促进患者康复。
Objective To observe the effect of laparoscopy in gastrointestinal cancer surgery. Methods Totally 63 patients with gastrointestinal cancer were selected as the observation objects, divided into groups according to the operation method, 31 patients undergoing laparoscopic surgery as observation group and 32 patients undergoing conventional laparotomy as control group. The incision length, blood loss, The number of lymph nodes and postoperative conditions. Results The length of the incision in the observation group was shorter than that in the control group, and the blood loss in the operation group was smaller than that in the control group. The difference was statistically significant (P <0.05). There was no significant difference in the length of the specimens and the number of lymph nodes between the two groups (P> 0.05). The postoperative exhaust time, bed time and hospital stay in the observation group were significantly shorter than those in the control group, with significant differences (P <0.05). Postoperative analgesia rate in the observation group was significantly lower than that in the control group, with significant difference (P <0.05). There was no significant difference in the incidence of intestinal obstruction between the two groups (P> 0.05). Conclusion Laparoscopic surgery in gastrointestinal cancer surgery, its lymphatic clearance effect and laparotomy is basically the same, the use of laparoscopic incision is small, reduce the analgesic rate, reduce the advantages of bleeding, can promote patient rehabilitation.