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目的讨论腹腔镜大肠癌手术中腹腔内放置氟尿嘧啶植入剂的安全性。方法 60例腹腔镜大肠癌手术随机分成术中腹腔内放置氟尿嘧啶植入剂组(试验组)。未放置氟尿嘧啶植入剂组(对照组)。氟尿嘧啶植入剂,即中人氟安,氟尿嘧啶植入剂使用大网膜包裹,观察放置植入剂后各项血液指标及有无伤口感染及吻合口瘘等。结果植入剂组与对照组在同一时间点,WBC、ALT、CRP等指标比较差异无统计学意义(P>0.05);术后并发症如伤口感染及吻合口瘘比较差异无统计学意义(P>0.05)。结论腹腔镜大肠癌术中通过大网膜包裹的方式放置氟尿嘧啶植入剂是安全可靠的。
Objective To discuss the safety of intra-peritoneal fluorouracil implants in laparoscopic colon cancer surgery. Methods 60 cases of laparoscopic colon cancer surgery were randomly divided into intraperitoneal placement of fluorouracil implant group (experimental group). No fluorouracil implant was placed (control group). Fluorouracil implants, that is, flunarizine, fluorouracil implants use omentum wrapping, observe the placement of implants after the blood indicators and whether the wound infection and anastomotic fistula. Results There were no significant differences in WBC, ALT, CRP and other indicators between the implanted group and the control group at the same time point (P> 0.05). Postoperative complications such as wound infection and anastomotic fistula were not statistically significant P> 0.05). Conclusion Laparoscopic colorectal cancer surgery through the way of omentum placement of fluorouracil implants is safe and reliable.