经腹手术治疗直肠癌临床观察

Clinical Study on Abdominal Surgery in Treatment of Patients With Colorectal Cancer

目的 对经腹手术治疗直肠癌的临床疗效进行观察研究。方法 选取于2014年4月-2015年6月在我院采用经腹手术治疗的直肠癌患者65例,将患者随机分为常规开腹组（31例）以及腹腔镜组（34例）进行对照研究,观察常规开腹手术以及腹腔镜手术的效果并进行比较。结果 腹腔镜组患者的术后并发症发生率为11.8%,低于常规开腹组的32.3%;同时腹腔镜组患者的术中出血量少于常规开腹组,手术时间、下床活动时间以及住院时间均短于常规开腹组,差异具有统计学意义（P〈0.05）。结论 腹腔镜这种经腹手术治疗直肠癌的疗效确切,具有创伤小、患者痛苦小、安全有效以及术后恢复快等诸多优点。

Objective To study the clinical effect of abdominal surgery in treatment of patients with colorectal cancer. Methods Chose 65 patients with colorectal cancer who were treated in hospital from April 2014 to June 2015 and separated 31 patients into group that were given conventional laparotomy treatment and 34 patients into group that were given laparoscopic treatment,and then observed patients’surgery treatment effects between two groups. Results Patients’complication incidence in laparoscopic group was 11.8%,which was much lower than 32.3%in laparotomy group,and in addition,patients’ bleeding loss,surgery time,ambulation time and their hospitalization days in laparoscopic group were much fewer than counterparts in laparotomy group,there was a differential between two groups and such a differential had statistic value（P〈0.05）. Conclusion Laparoscopic surgery is effective in treatment of patients with colorectal cancer,such a treatment is of less trauma and less pain for patients with treatment efficiency and it is conducive to patients’recovery.