腹腔镜直肠癌根治术在直肠癌患者中应用价值研究

Study on the Value of Laparoscopic Radical Resection of Rectal Cancer in Patients With Rectal Cancer

目的探究腹腔镜直肠癌根治术在直肠癌患者中应用价值。方法选取我院2015年2月—2017年3月收治的80例直肠癌患者分组研究,采取随机双盲法分为观察组及对照组,观察组患者(40例)采取腹腔镜直肠癌根治术治疗,对照组患者(40例)采取开腹手术治疗,比较两组手术时间、术中出血量、住院时间及尿管留置时间及患者并发症。结果观察组患者手术时间(190.24±10.36)min,长于对照组(141.24±10.00)min,术中出血量(125.63±21.24)ml,短于对照组(311.24±24.35)ml,住院时间(7.12±1.23)d,短于对照组(10.24±2.11)d,置管时间(2.55±0.70)d,短于对照组(4.59±1.11)d,并发症率为2.50%,低于对照组17.50%,P<0.05,差异有统计学意义。结论腹腔镜直肠癌根治术治疗直肠癌效果佳,患者创伤小,恢复快,并发症率低,安全性高。

Objective To explore the value of laparoscopic radical resection of rectal cancer in the patients with rectal cancer. Methods 80 cases of rectal cancer patients treated from February 2015 to March 2017 in our hospital were divided into the observation group and control group byrandom double blind method. The observation group （40 cases） were treated with laparoscopic radical resection of rectal cancer, and the control group （40 cases） was treated with laparotomy. The operation time, the amount of bleeding in the operation, the time of hospitalization, the time of indwelling catheter and the complications of the patients between the two groups were compared. Results The operative time of the patients in the observation group was （190.24±10.36） min, which was longer than that of the control group （141.24±10.00） min, the amount of intraoperative bleeding （125.63±21.24） ml, shorter than that of the control group （311.24±24.35） ml, the time of hospitalization （7.12±1.23） d, shorter than that of the control group （10.24±2.11） d, the time of catheterization was （2.55±0.70） d, shorter than that of the control group （4.59±1.11） d, the rate of complications was 2.50%, which was lower than that of the control group （17.50%）, P 〈 0.05, and the difference was statistically significant. Conclusion Laparoscopic radical resection of rectal cancer is effective in the treatment of rectal cancer, with small trauma, rapid recovery, low complication rate and high safety.