腹腔镜与开腹手术治疗结直肠癌的疗效及对患者胃肠功能和生活质量的影响

Clinical effect of laparoscopy and laparotomy in colorectal cancer and its effect on gastrointestinal function and quality of life

目的研究结直肠癌采用腹腔镜与开腹手术治疗的疗效。方法回顾性分析我院84例结直肠癌根治患者的临床资料,根据手术方式将其分为观察组(n=38,腹腔镜手术)和对照组(n=46,开腹手术)。比较两组治疗效果。结果与对照组相比,观察组手术时间更长,术中出血量和输血量更少,输血率更低(P<0.05);观察组术后首次进食时间、排气时间和下床活动时间及住院时间短于对照组,QLQ-C30评分高于对照组(P<0.05);观察组术后并发症总发生率低于对照组(P<0.05)。结论腹腔镜结直肠癌根治具有创伤小、并发症少等优势,患者术后康复效果和生活质量更好。

Objective To study the clinical effect of laparoscopy and laparotomy in colorectal cancer. Methods Theclinical data of 84 patients with radical resection of colorectal cancer in our hospital were retrospectively analyzed. Thepatients were divided into observation group （n=38, laparoscopic surgery） and control group （n=46, laparotomy） accordingto the operation methods. The treatment effects were compared between the two groups. Results Compared with thecontrol group, there were longer operation time, less itraoperative blood loss and amount of blood transfusion, and lowerblood transfusion rate in the observation group（P〈0.05）. The postoperative first time of eating, the first exhaust time, firstambulation time and the average hospital stay in the observation group were significantly shorter than those in the controlgroup, and the QLQ-C30 score was higher than that in the control group（P〈0.05）. The overall incidence of postoperativecomplications in the observation group was lower than that in the control group （P〈0.05）. Conclusion Laparoscopicradical resection of colorectal cancer has the advantages of small trauma and few complications, and it is more favorablefor the postoperative recovery effect and quality of life.