腹腔镜在低位直肠癌根治保肛手术的临床应用分析

Clinical Application of Laparoscopy in the Treatment of Low Rectal Cancer with Anal Sphincter Preservation

目的研究和分析腹腔镜在低位直肠癌根治保肛手术的临床应用效果及作用。方法选取2015年3月—2018年1月期间,该院收治的200例低位直肠癌患者为实验的对象,并将所有患者以随机方式分为实验组和对照组,每组100例。对照组实行常规手术治疗,实验组实行腹腔镜下低位直肠癌根治保肛手术治疗。记录、比较和分析两组患者的实际情况,即临床治疗效果和康复情况。结果手术后,两组患者的情况均有不同程度的改善。其中实验组患者的手术时长为(151.67±27.32)min、术后排气时间(107.64±17.56)min及出血量(120.87±40.58)mL、住院时间(10.34±1.32)d,均低于对照组的(149.55±30.89)min、(150.70±28.74)min、(208.93±39.24)mL、(14.02±2.54)d,比较差异有统计学意义(t=7.138,12.542,8.724,P<0.05)。结论腹腔镜在低位直肠癌根治保肛手术的临床应用有助于患者的康复,在今后的实践中,应大力推行。

Objective To study and analyze the clinical application and effect of laparoscopy in the treatment of low rectal cancer radical anal sphincter preservation. Methods From March 2015 to January 2018, 100 patients with low rectal cancer admitted to the hospital were enrolled in the study. All patients were randomly divided into experimental group and the control group, 50 cases in each group. The control group underwent routine surgical treatment. The experimental group underwent laparoscopic treatment of low rectal cancer radical anal sphincter preservation. Record,compare and analyze the actual situation of the two groups of patients, namely the clinical treatment effect and rehabilitation. Results After surgery, the conditions in both groups were improved to varying degrees. The operation time of the experimental group was(151.67 ±27.32) min, postoperative exhaust time(107.64 ±17.56) min, blood loss(120.87 ±40.58) mL, hospitalization time(10.34±1.32) d, all lower than the control group of(149.55±30.89) min,(150.70±28.74) min,(208.93±39.24) mL, and(14.02±2.54) d were statistically significant(t=7.138,12.542,8.724,P<0.05). Conclusion The clinical application of laparoscopy in the treatment of low rectal cancer radical anal sphincter preservation is helpful to the rehabilitation of patients. In the future practice, it should be vigorously promoted.