腹腔镜手术与开腹手术在结肠癌治疗中的应用效果评价

Comparison of laparoscopy and laparotomy for colon cancer

目的比较腹腔镜手术与开腹手术在结肠癌治疗中的应用效果。方法选取180例结肠癌患者作为研究对象,随机分为两组:实验组(n=90)和对照组(n=90)。实验组患者接受腹腔镜手术,对照组患者接受开腹手术。观察并比较两组患者的治疗效果。结果实验组患者的术中指标(切口长度、手术时间、术中出血量)低于对照组,差异有统计学意义(P﹤0.05);且术后指标(体温恢复时间、肛门排气时间、进食时间、下床活动时间、住院时间)短于对照组,差异有统计学意义(P﹤0.05)。术前,两组患者的生活质量指标(躯体角色、生命力、健康状况、肌体疼痛、躯体功能、社会功能、情感角色、心理健康)相比,差异无统计学意义(P﹥0.05);而术后,实验组患者上述指标明显优于对照组(P﹤0.05),且实验组患者并发症发生率明显低于对照组(P﹤0.05)。结论相较于开腹手术治疗结肠癌,腹腔镜手术不仅恢复快,且术后并发症少,同时患者预后恢复更好,在临床上具有一定的推广和使用价值。

Objective To compare the effect of laparoscopic surgery and open surgery in the treatment for colon can-cer. Method 180 cases of patients with colon cancer were enrolled and randomized into study group （n=90） or control group （n=90）, and patients in the two groups were administered with laparoscopic surgery or open surgery, respectively, and then the treatment effects were observed and compared. Result The intraoperative measures （length of incision, op-erative time, intraoperative bleeding） in study group were significantly lower than those of the control group （P〈0.05）;And the postoperative measures （recovery time of body temperature, anal exhaust time, time to food intake, ambulation time, hospital stay） in the study group were significantly better than that of the control group （P〈0.05）;While the mea-sures of quality of life （physical role, vitality, health status, body pain, physical function, social function, emotional role, mental health） were similar between the two groups （P〉0.05） before surgery, but were significantly improved in study group compared with that of the control group after surgery （P〈0.05）, with lower incidence of complications observed in study group （P〈0.05）. Conclusion Compared with open surgery for colon cancer, laparoscopic surgery is superior with faster recovery and less postoperative complications, as well as better prognosis, and is clinically applicable.