对比腹腔镜手术与开腹手术应用在结直肠癌根治术中的临床效果

Contrast application in colorectal cancer radical laparoscopic surgery and laparotomy in clinical effect

目的对比分析腹腔镜手术和开腹手术在结直肠癌根治术中的效果。方法选取本院2013年8月~2014年9月根治的结直肠癌患者60例为研究对象,把他们根据根治手术方式分为腹腔镜手术根治组和开腹式手术根治组。观察记录这两种手术方式在手术时间、术中出血量、术后进食时间、住院时间、术后止痛药使用以及术后切口感染等数据。结果从数据对比可以看出开腹式手术所用的时间短、患者手术中出血量少、手术后使用的止痛药少、能尽快的进食和出院。这些数据比较,差异明显(P〈0.5),具有统计学意义。而这两组手术的术后切口感染情况的数据比较(P)0.5),无统计学意义。结论在结直肠癌根治中,腹腔镜手术相较开腹式手术具有手术用时短、疗效快、安全系数高的优势,效果明显,具有临床医学推广价值。

Objective To compare the effect of laparoscopic operation and open operation in the treatment of colorectal cancer. Methods60 patients with colorectal cancer who were cured in our hospital from August 2013 to September 2014 were selected as the research object,and they were divided into laparoscopic radical operation and open radical operation. Observation and record of these two kinds of operation mode in operation time,intraoperative blood loss,postoperative eating time,hospitalization time,postoperative pain medication use and postoperative wound infection and other data. Results compared with the data,it can be seen that the short time,the amount of bleeding in the operation,less bleeding,less postoperative use of the operation,as soon as possible to eat and discharge. These data were statistically significant differences. And these two groups of postoperative incision infection in the case of data(),no statistical significance. Conclusion in the treatment of colorectal cancer,laparoscopic surgery has the advantages of shorter operative time,shorter therapeutic effect and higher safety factor compared with open operation,which has obvious effect,and has clinical value.