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目的探讨临床治疗直肠癌的手术方法,为直肠癌的临床治疗和相关研究提供借鉴依据。方法选取2010年12月至2013年12月济源市卫生学校附属医院收治的86例直肠癌患者为研究对象,针对患者的相关临床资料进行回顾性研究。随机将86例患者分为腹腔镜手术组和开腹手术组,每组43例。两组患者分别采用腹腔镜手术治疗和传统开腹手术治疗。观察并比较两组患者实施不同手术治疗后的出血量、排气时间、镇痛泵使用时间以及不良反应发生情况。结果在出血量、排气时间和镇痛泵使用时间等三项指标上,腹腔镜组患者的指标水平均明显优于开腹手术组患者,且组间比较差异有统计学意义(P均<0.05)。腹腔镜组患者的不良反应发生率水平均明显低于开腹手术组患者,且组间比较差异有统计学意义(χ2=4.9615,P=0.0259)。结论临床针对直肠癌患者实施手术治疗的过程中,与传统开腹手术治疗方法相比较,采用腹腔镜手术治疗方法的临床效果显著,是针对直肠癌患者实施手术治疗的理想选择。
Objective To investigate the surgical treatment of rectal cancer and provide reference for the clinical treatment and related research of rectal cancer. Methods Twenty-six patients with rectal cancer admitted to Jiyuan City Health School Affiliated Hospital from December 2010 to December 2013 were selected as the research object, and the clinical data of the patients were retrospectively studied. 86 patients were randomly divided into laparoscopic surgery group and open surgery group, 43 cases in each group. Two groups of patients were treated with laparoscopic surgery and traditional laparotomy. Observe and compare two groups of patients after the implementation of different surgical treatment of bleeding volume, exhaust time, analgesia pump use time and adverse reactions. Results The indexes of laparoscopic group were significantly better than those of laparotomy group on the three indexes of bleeding volume, exhaust time and the time of analgesia pump, and the difference between the two groups was statistically significant (P < 0.05). The incidence of adverse reactions in patients with laparoscopic group were significantly lower than those in open surgery group, and the difference was statistically significant (χ2 = 4.9615, P = 0.0259). Conclusion In clinical practice of surgical treatment of patients with rectal cancer, compared with the traditional method of laparoscopic surgery, the clinical effect of using laparoscopic surgery is significant, and it is the ideal choice for surgical treatment of patients with rectal cancer.