腹腔镜手术对直肠癌患者术后生活质量的影响

The Effect of Laparoscopic Surgery on the Quality of Life of Rectal Cancer Patients after Operation

目的探究腹腔镜手术对直肠癌患者术后生活质量的影响。方法选取2015年8月—2018年12月本院收治的112例直肠癌患者,随机分为两组,对照组和研究组,对照组患者采用开腹手术治疗,研究组患者采用腹腔镜手术治疗,采用EORTC QLQ-C30和QLQCR38评分表来测定这些直肠癌患者的术后生活质量,包括患者术后的健康状况、角色功能、疼痛感、躯体形象以及排尿问题等。结果 QLQ-C30下研究组患者与对照组患者在术后健康状况、角色功能问题的领域评分差异有统计学意义(P <0.05);QLQ-CR38下研究组患者与对照组患者在术后躯体形象以及排尿问题的领域评分差异有统计学意义(P <0.05),研究组患者在出院后的疼痛感轻于对照组,差异有统计学意义(P <0.05)。结论相比开腹手术,腹腔镜手术可明显改善术后疼痛感,提升患者生存质量,临床治疗效果明显。

Objective To explore the influence of laparoscopic surgery on postoperative quality of life in patients with rectal cancer. Methods 112 patients with rectal cancer admitted to our hospital from August 2015 to December 2018 were selected.The machine is divided into two groups, the control group and the research group. The patients in the control group are treated by open surgery.The patients in the study group were treated by laparoscopic surgery, using EORTC QLQ-C30 and QLQCR38.Scoring scales were used to measure the quality of life of these rectal cancer patients after surgery, including surgery.Health status, role function, pain, body image and urination problems. Results There were significant differences in the scores of postoperative health status and role function between the study group and the control group under QLQ-C30 (P < 0.05). The postoperative body image of the study group and the control group under QLQCR38 There was a statistically significant difference in the scores of the urinary problems (P < 0.05). The pain of the patients in the study group was lighter than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion Compared with open surgery, laparoscopic surgery can significantly improve postoperative pain, improve the quality of life of patients, clinical treatment is obviousl.