结肠镜、腹腔镜双镜联合治疗结直肠良恶性肿瘤与开腹手术的疗效对比

Curative effects of combined colonscopy and laparoscopy operation and laparotomy on benign and malignant colonic or rectal tumor: A comparative study

目的探讨结肠镜、腹腔镜联合治疗结直肠良恶性肿瘤在临床应用中的优点。方法 2007年6月-2011年1月我科分期收治结直肠良恶性肿瘤患者174例,其中78例行开腹手术,96例行结肠镜、腹腔镜联合手术。观察手术时间、术中出血量、术后镇痛次数、术后排气时间、术后并发症及复发。结果术中出血量双镜组平均50 ml,开腹组平均150 ml;术后镇痛次数双镜组平均0.3次,开腹组平均3次;术后排气时间双镜组<36 h 49例,开腹组0例,双镜组明显优于开腹组(P<0.01)。结论双镜联合治疗结直肠良恶性肿瘤较开腹手术优点明显,可作为结直肠良恶性肿瘤的常规手术方法。

Objective To study the application of combined colonscopy and laparoscopy operation in treatment of benign and malignant colonic or rectal tumor. Methods One hundred and seventy-four patients with benign and malignant colonic or rectal tumor admitted to our department were included in this study. Of these patients, 78 underwent laparotomy and 96 underwent combined colonscopy and laparoscopy operation. Their operation time, intra-operative blood loss, postoperative analgesics- used times, postoperative flatus passing time, postoperative complications and recurrence of the disease were observed. Results The average intra-0perative blood loss was 50 ml and 150 ml respectively, the postoperative analgesics-used times was 0.3 and 3 respectively, the average postoperative flatus passing time was 〈 36 h and 〉 36 h respectively, in combined colonscopy and laparoscopy group and laparotomy group. Conclusion The effect of combined colonscopy and laparoscopy operation is better than laparotomy on benign and malignant colonic or rectal tumor.