腹腔镜根治术与传统开腹手术治疗结肠癌的临床效果对比分析

Comparative Analysis of Clinical Effects of Laparoscopic Radical Surgery and Traditional open Surgery on Colon Cancer

目的:探讨腹腔镜根治术与传统开腹手术治疗结肠癌的临床效果对比分析。方法:选择从2016年1月~2018年12月收治的100例结肠癌患者为对象,按照随机数表法进行分组,划分为对照组与研究组,各组有50例。对照组实施传统开腹手术治疗方案,研究组实施腹腔镜根治术治疗方案。比较分析两组的手术相关指标、QLQ-CR38评分,治疗效果及术后并发症发生情况。结果:研究组的临床治疗总有效率为96.00%,高于对照组(80.00%),差异有统计学意义(P<0.05);研究组的手术时间为(130.20±9.02)min,胃肠功能恢复正常时间为(2.01±0.03)d,住院时间为(6.20±0.60)d,短于对照组[(153.75±16.80)min、(4.30±0.70)d、(10.30±1.60)d],差异有统计学意义(P<0.05);研究组的术中出血量为(121.85±8.35)mL,少于对照组(270.30±16.50mL),差异有统计学意义(P<0.05);研究组治疗后的肠道功能评分为(4.95±1.05)分,心理情绪评分为(2.70±0.75)分,社会功能评分为(1.05±0.20)分,低于对照组[(10.25±2.40)分、(4.30±1.39)分、(2.60±1.65)分],差异有统计学意义(P<0.05);研究组的术后并发症发生率为4.00%,低于对照组(16.00%),差异有统计学意义(P<0.05)。结论:与传统开腹手术治疗结肠癌相比较,应用腹腔镜根治术治疗结肠癌的临床效果更佳。

Objective:To explore the comparative analysis of clinical effects of laparoscopic radical surgery and traditional open surgery on colon cancer.Methods:A total of 100 patients with colon cancer who were treated from January 2016 to December 2018 were selected as subjects.They were grouped according to the random number table method and divided into a control group and a study group,with 50 cases in each group.The control group underwent traditional laparotomy,while the study group underwent laparoscopic radical surgery.Comparison and analysis of surgical related indicators,QLQ-CR38 score,treatment effect and postoperative complications of the two groups were compared.Results:The total effective rate of clinical treatment in the study group was 96.00%,which was higher than that in the control group(80.00%),and the difference was statistically significant(P<0.05).The operation time in the study group was(130.20±9.02)minutes,and gastrointestinal function was restored.The normal time was(2.01±0.03)d,and the length of hospital stay was(6.20±0.60)d,which was shorter than the control group[(153.75±16.80)min,(4.30±0.70)d,(10.30±1.60)d],and the difference was statistically significant(P<0.05).The intraoperative blood loss of the study group was(121.85±8.35)mL,which was less than the control group(270.30±16.50mL),and the difference was statistically significant(P<0.05).The intestinal function score of the study group after treatment was(4.95±1.05)points,psychological emotion score(2.70±0.75)points,social function score(1.05±0.20)points,lower than the control group[(10.25±2.40)points,(4.30±1.39)points,(2.60±1.65)points],the difference was There was statistical significance(P<0.05);the postoperative complication rate in the study group was 4.00%,which was lower than the control group(16.00%),and the difference was statistically significant(P<0.05).Conclusion:Compared with traditional laparotomy for colon cancer,laparoscopic radical surgery is more effective in treating colon cancer.