腹腔镜手术与经腹直肠癌根治术对大肠癌的治疗价值比较

Comparison of the Treatment Value of Laproscopic Surgery and Abdominal Radical Resection of Rectal Carcinoma for Colon Cancer

目的:探讨腹腔镜手术与经腹直肠癌根治术对大肠癌的治疗价值。方法:选择本院2008年1月-2014年1月收治的大肠癌患者76例作为研究对象,采取随机数字表法将所选患者分为对照组和观察组,每组38例。观察组采取腹腔镜手术治疗,对照组采取经腹直肠癌根治术治疗。比较两组手术时间、住院时间、术中出血量、术后排气时间、并发症发生率、转移复发率、5年无瘤生存率及生存质量评分。结果:观察组手术时间、住院时间、术中出血量、术后排气时间少于对照组,比较差异均有统计学意义(P<0.05);观察组并发症发生率低于对照组,比较差异均有统计学意义(P<0.05);观察组术后生存质量评分高于术前及对照组,比较差异均有统计学意义(P<0.05)。结论:采用腹腔镜手术治疗大肠癌疗效显著、安全性高,治疗效果显著优于传统经腹直肠癌根治术,术后能有效提高患者生存质量,值得临床推广应用。

Objective：To investigate the treatment value of laproscopic surgery and abdominal radical resection of rectal carcinoma for colon cancer.Method：76 colon cancer patients in our hospital from January 2008 to January 2014 were selected as the research objects.They were randomly divided into the control group and the observation group,38 cases in each group.The observation group was treated with laparoscopic surgery and the control group was treated with abdominal radical resection of rectal carcinoma.The operation time,intraoperative blood loss,hospital stay,postoperative exhaust time,incidence rate of complications, metastatic rates,5-year tumour-free surial rate and scores of quality of life were compared between the two groups.Result：The operation time,hospitalization time,intraoperative blood loss and postoperative exhaust time of the observation group were obviously less than those of the control group,the differences were statistically significant（P〈0.05）.The incidence rate of complications of the observation group was lower than that of the control group,the difference was statistically significant（P〈0.05）.The score of quality of life in the observation group after operation was higher than that before operation and that in the control group,the differences were all statistically significant（P〈0.05）.Conclusion：Laparoscopic surgery in the treatment of colon cancer has distinct curative effect and high security.Its treatment effect is significantly superior to the traditional abdominal radical resection of rectal carcinoma.It can effectively improve the quality of survival,which is worthy of clinical popularization and application.