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目的评估腹腔镜直肠癌手术与传统开腹直肠癌手术的临床治疗效果。方法选取2012年6月至2015年6月96例直肠癌患者作为研究对象,按随机抽样法分两组,每组48例。观察组行腹腔镜直肠癌手术,对照组行传统开腹直肠癌手术,比较两组患者近期疗效、各项指标情况及术后并发症发生情况。结果观察组近期总有效率为91.67%,明显高于对照组的70.83%,差异有统计学意义(P<0.05)。观察组手术时间、住院时间均明显短于对照组(P<0.05),术中出血量明显少于对照组(P<0.05),淋巴结清除数量多于对照组(P<0.05)。观察组术后并发症发生率(6.25%)明显低于对照组(22.92%),差异有统计学意义(P<0.05)。结论腹腔镜直肠癌手术治疗效果优于传统开腹直肠癌手术,腹腔镜直肠癌手术具有微创口、恢复速度快等优点,能有效提高患者的生存质量,值得采纳应用。
Objective To evaluate the clinical effect of laparoscopic surgery for rectal cancer and conventional open surgery for rectal cancer. Methods A total of 96 patients with rectal cancer from June 2012 to June 2015 were selected as study subjects and divided into two groups according to random sampling method, with 48 patients in each group. The observation group underwent laparoscopic surgery for rectal cancer. The control group underwent conventional open surgery for rectal cancer. The short-term efficacy, the indexes and postoperative complications of the two groups were compared. Results The total effective rate in the observation group was 91.67%, which was significantly higher than that in the control group (70.83%), the difference was statistically significant (P <0.05). The operation time and hospital stay in the observation group were significantly shorter than those in the control group (P <0.05). The blood loss in the observation group was significantly less than that in the control group (P <0.05). The number of lymph node clearance was more than that in the control group (P <0.05). The incidence of postoperative complications in observation group (6.25%) was significantly lower than that in control group (22.92%), the difference was statistically significant (P <0.05). Conclusion The effect of laparoscopic rectal cancer surgery is superior to that of traditional open rectal cancer surgery. Laparoscopic rectal cancer surgery has the advantages of minimally invasive wound healing and rapid recovery, which can effectively improve the quality of life of patients and is worthy of adoption.