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腹腔镜与传统开腹手术治疗直肠癌的临床效果对比

Comparison of laparoscopy and laparotomy in rectal carcinoma
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摘要 目的:研究直肠癌患者采用腹腔镜和传统开腹手术的临床效果。方法:临床纳入194例直肠癌患者作为研究对象,按入院顺序分为两组各97例。开腹组采用开腹手术治疗,腹腔镜组采用腹腔镜手术治疗。观察手术情况、治疗效果及生存情况。结果:两组患者手术时间、淋巴结清扫个数差异无统计学意义(P>0.05);腹腔镜组切口长度、肛门排气时间以及下床活动时间短于开腹组,出血量少于对照组(均P<0.05)。腹腔镜组、开腹组并发症发生率分别为4.12%、5.15%,两组差异无统计学意义(P>0.05)。腹腔镜组1年、2年生存率与对照组比较,差异无统计学意义(P>0.05)。结论:腹腔镜手术与开腹手术效果相似,创伤更小、出血更少,使患者恢复时间明显缩短,促进预后,值得临床应用及推广。 Objective:To compare the curative effect of laparoscopy and laparotomy.Methods:194 patients treated in hospital were selected and assigned to two groups according to the registration number, 97 cases each group. Patients received the laparoscopy or laparotomy, respectively. The operation condition, efficacy and survival rate were probed.Results:The operation time and dissected lymph nodes for two groups were not significantly different(P〈0.05); the incision length, anal exhaust time, ambulant time and bleeding volume for laparoscopy group were significantly reduced, had significant difference among groups(P〈0.05); the incidence rate of complications for laparoscopy group(4.12%) and laparotomy group(5.15%) was not significantly different(P〈0.05); after 1 y and 2 y of surgery, there were no significant between-group difference in the survival rate(P〈0.05).Conclusion: The laparoscopy has a fair effect, reduces the trauma and bleeding volume, shortens the recovery time and improves the clinical prognosis.
作者 周腾贤 姚清深 周林荣 李晓和 陈宁 庞成 杨宇 粟业能 ZHOU Teng-xian;YAO Qing-shen;ZHOU Lin-rong(Red Cross Hospital of Yulin City,Yulin 537000,Guangx)
出处 《安徽卫生职业技术学院学报》 2018年第4期51-52,共2页 Journal of Anhui Health Vocational & Technical College
关键词 腹腔镜 开腹 直肠癌 手术 Laparoscopy Laparotomy Rectal carcinoma Surgery
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