腹腔镜直肠癌手术与传统开腹直肠癌手术的临床疗效对比分析

Comparison of Clinical Efficacy between Laparoscopic Rectal Cancer Surgery and Traditional Open Rectal Cancer Surgery

目的对比分析传统开腹手术和腹腔镜手术治疗老年直肠癌患者的临床治疗效果。方法选取该院2010年12月—2012年12月收治的98例老年直肠癌患者,按照不同治疗方式分为对照组和实验组,各49例。给予对照组患者传统开腹手术治疗方式,给予实验组患者腹腔镜手术治疗方式。对比分析两组患者手术中以及手术完成之后的各项指标并对比分析两组患者的生存状态。结果对比分析两组患者的肿瘤大小,清扫淋巴结数量,肠梗阻,手术时间,肿瘤切缘距离,肠瘘发生率以及术后肺感染等方面差异无统计学意义(P>0.05);对比分析两组患者的住院费用、下床活动时间、切口长度、术后引流时间、术中失血量、疼痛评分、排气时间、切口感染以及术后住院时间等方面,实验组组分别为(3.71±0.057)万元,(3.04±0.83)d、(6.52±1.56)cm、(4.39±0.83)d、(156.63±34.43)mL、(5.37±1.06)分、(2.14±1.53)d,有4例患者出现切口感染,感染率为8.16%,与对照组数据对比差异有统计学意义(P<0.05)。对比分析两组患者4年之内生存率,对照组患者的总生存率为49.5%,实验组患者的总生存率为55.9%,结果显示对照组患者的总生存率与实验组患者,差异无统计学意义(P>0.05)。结论给予老年直肠癌患者腹腔镜手术治疗方式,能够有效缩短手术时间,有效加强患者的治疗效果,提升患者的生活质量,并且预后效果比较理想。

Objective This paper tries to investigate the clinical treatment effect of the traditional open surgery and laparoscopic surgery in the treatment of elderly patients with rectal cancer.Methods 98 elderly patients with rectal cancer in this hospital from December 2010 to December 2012 were selected.According to different treatment methods,they were divided into the control group and the experimental group,with 49 cases in each group.The patients in the control group were treated by conventional laparotomy,and the laparoscopic treatment was given to the experimental group.The surgery indicators and the survival situation of the two groups of patients during and after the operation were compared and analyzed.Results Comparative analysis of two groups of patients with tumor size,lymph node number,intestinal obstruction,surgical time,tumor margins,intestinal fistula and differences in incidence of postoperative pulmonary infection were not significant(P>0.05),with no statistical significant differences;comparative analysis of hospitalization costs of the two groups of patients,ambulation time,incision length,postoperative drainage time,blood loss during operation,pain score,exhaust time,incision infection and postoperative hospitalization time,experimental group respectively were(37.1±0.57)thousand yuan,(3.04±0.83)d,(6.52±1.56)cm,(4.39±0.83)d,(156.63±34.43)mL,(5.37±1.06)points,(2.14±1.53)d,4 cases of patients with wound infection,the infection rate was 8.16%,significantly difference with the control group(P<0.05),with statistical significance.Comparative analysis of two groups of patients with four years’survival rate and total survival rate of patients in control group was 49.5%,the total survival rate of 55.9%in the experimental group,the results showed that the survival rate of patients with the control group and the experimental group was not significant(P>0.05).Conclusion The treatment of elderly patients with rectal cancer of laparoscopic surgery can effectively shorten the operation time,effectively enhance the therapeutic effect of patients,improve the quality of life of patients and the prognosis will be ideal.