腹腔镜及开腹手术在直肠癌患者临床治疗中的效果观察

Effect of Laparoscopy and Laparotomy in the Treatment of Rectal Cancer

目的观察对比腹腔镜及开腹手术在直肠癌患者临床治疗中的效果。方法选取我院2015年3月—2018年3月收治的直肠癌患者100例为对象进行研究,利用双盲随机法将其分为观察组和对照组,各50例。采用传统开腹手术治疗对照组患者,采用腹腔镜手术治疗观察组患者。比较两组手术情况、术后输血率、止痛药使用率以及恢复情况等。结果观察组术中出血量、切口长度、手术时间、术后输血率、止痛药使用率等较对照组均显著较少,术后肠鸣音恢复、住院、下床活动等时间较对照组显著较短(P <0.05)。两组淋巴结清扫总数对比无显著差异(P> 0.05)。结论腹腔镜手术在直肠癌患者临床治疗中的效果明显优于传统开腹手术,且具有创伤小、手术时间短、术中出血量少、住院时间短、并发症少、术后恢复快等优势,具有较高安全性,值得临床应用推广。

Objective To observe and compare the effect of laparoscopic and open surgery in the treatment of rectal cancer.Methods A total of 100 patients with rectal cancer admitted in our hospital from March 2015 to March 2018 were selected as subjects.They were divided into observation group and control group by double blind random method,each groups had 50 cases.The patients in the control group were treated by traditional laparotomy,and the patients in the observation group were treated by laparoscopic surgery.The operation condition,postoperative transfusion rate,analgesic utilization rate and recovery of the two groups were compared.Results The bleeding volume,incision length,operation time,postoperative blood transfusion rate and the use rate of analgesics in the observation group were significantly less than those in the control group,and the recovery time of bowel sounds,hospitalization time and ambulation time were significantly shorter than those in the control group(P<0.05).There was no significant difference in the total number of lymph node dissection between the two groups(P >0.05).Conclusion Laparoscopic surgery is superior to traditional open surgery in the clinical treatment of rectal cancer patients,and has the advantages of less trauma,shorter operation time,less intraoperative bleeding,shorter hospitalization time,fewer complications,faster postoperative recovery and so on.It is worthy of clinical application and promotion.