经腹手术治疗直肠癌临床分析62例

目的:探讨腹经腹手术治疗直肠癌的临床效果。方法:采用经腹手术治疗直肠癌患者62例,进行回顾性分析。结果:本组直肠癌患者62例,手术时间125.8±13.5分钟,术中出血92±15.7ml,术后肠功能恢复时间3.1±1.1天,术后住院时间19.5±12.1天,术后镇痛时间38.5±12.3小时,发生并发症5例,并发症发生率8.06%,其中腹部伤口感染2例,肠梗阻2例,会引伤口感染1例,无死亡病例发生。随访3～54个月,局部复发2例(3.2%),远处转移2例(3.2%),死亡1例,死亡率1.6%。结论:经腹手术治疗直肠癌临床效果显著,复发率低。

Objective：To explore the abdomen after abdominal surgical treatment of rectal cancer clinical effect. Methods ： from February 2010 to January 2012 with 62 cases of rectal cancer patients after abdominal surgery were analyzed retrospectively. Results： The group of 62 patients with rectal cancer, surgery time 125.8 ± 13.5 min, blood loss 92 ± 15.7 ml, postoperative intestinal function recovery time 3. 1 ± 1. 1 d, postoperative hospital stay 19.5 ± 12.1 d, postoperative analgesia 38.5 ± 12.3 h, complications occurred in five cases, the complication rate was 8. 06% , abdominal wound infection 2 cases, intestinal obstruction in two cases, will lead to wound infection in 1 case, no deaths have occurred. Follow - up of 3 months to 54 months, local recurrence in 2 cases（ 3. 2% ）, distant metastasis, 2 cases （3.2%） ,1 died,the mortality rate was 1. 6%. Conclusions：The clinical effects of abdominal surgical treatment of rectal cancer was significantly lower recurrence rate.