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目的探讨传统开腹手术与腹腔镜手术治疗直肠癌的临床效果。方法采用回顾性分析的方法,以2010年2月至2013年2月期间收治的50例行腹腔镜手术治疗直肠癌患者作为观察组,分析患者手术各项指标以及术后并发症情况;并选取同期行传统开腹手术治疗的直肠癌患者(对照组)50例进行对比。结果观察组手术时间明显长于对照组(P<0.05),而术中出血量、切口长度以及术后肛门排气时间少于对照组(P均<0.05);观察组并发症发生率(4.0%)明显低于对照组(18.0%),差异有统计学意义(P<0.05)。结论腹腔镜手术治疗直肠癌创伤小,并发症少,安全性高,术中出血量少,术后胃肠道功能恢复快。
Objective To investigate the clinical effect of traditional laparotomy and laparoscopic surgery on rectal cancer. Methods A retrospective analysis was performed on 50 patients undergoing laparoscopic surgery for rectal cancer admitted from February 2010 to February 2013 as an observation group. The indexes of operation and postoperative complications were analyzed. In the same period, 50 patients with rectal cancer who underwent conventional laparotomy (control group) were compared. Results The operation time of the observation group was significantly longer than that of the control group (P <0.05), while the amount of bleeding, incision length and time of postoperative anal exhaust were less in the observation group than those in the control group (P <0.05). The complication rate in the observation group was 4.0% ) Was significantly lower than the control group (18.0%), the difference was statistically significant (P <0.05). Conclusion Laparoscopic surgery for the treatment of rectal cancer trauma, fewer complications, high safety, less blood loss, postoperative gastrointestinal function recovered quickly.