腹腔镜直肠癌根治术对患者尿动力学及消化道功能状态的影响

Influence of laparoscopic radical resection of rectal cancer on urodynamic and digestive tract function

目的:研究观察腹腔镜直肠癌根治术对患者尿动力学及消化道功能状态的影响程度。方法:选取于本院进行根治性手术治疗的74例直肠癌患者为研究对象,将其随机分为对照组(开腹手术组)37例和观察组(腹腔镜手术组)37例,然后将两组手术前后的尿动力学及血清胃肠激素、小肠传输功能进行检测及比较。结果:观察组手术后3d及7d的尿动力学指标及血清胃肠激素水平均明显优于对照组,术后1d及3d的小肠传输功能相关指标也明显优于对照组,差异均具有统计学意义(P<0.05)。结论:腹腔镜直肠癌根治术对患者尿动力学及消化道功能状态的不良影响明显小于开腹手术患者,且患者术后的上述方面恢复相对较快。

Objective： To study and observe the influence of laparoscopic radical resection of rectal cancer on patients＇ urodynamic and digestive tract function. Methods：A total of 74 patients with radical resection of rectal cancer admitted to our hospital were selected and randomly divided into control group（open operation group, n= 37 cases） and observation group（lap- aroscopic operation group, n= 37 cases）, then the urodynamic and serum gastrointestinal hormones, small intestine transmis- sion function of two groups before and after the operation were detected and compared. Results：The urodynamic and serum gastrointestinal hormones levels of observation group at third and seventh day after undergoing the operation were all signifi- cantly better than those of control group, small intestine transmission function related indexes at first and third day after under- going the operation were significantly better than those of control group too （P all〈0.05）, there were significant differences. Conclusion ： Adverse influence of laparoscopic radical resection of rectal cancer on urodynamic and digestive tract function are ob- viously smaller than those of patients underwent open operation, patients＂ recovery are relatively rapid.