腹腔镜和开腹结直肠癌根治术后胃肠动力改变

Changes of Gastrointestinal Motility After Laparoscopic and Open Colorectal Cancer Radical Operation

目的:临床进一步分析腹腔镜手术以及开腹结直肠癌根治术患者的治疗价值,探讨胃肠动力改变情况。方法:选入2018年2月~2019年4月在本院治疗的结直肠癌患者90例,通过中心随机法将90例患者均分为观察组(n=45,予以腹腔镜根治术)和对照组(n=45,予以开腹结直肠癌根治术)处理,对比两组治疗后的胃肠动力改变情况。结果:观察组治疗后的肠鸣音恢复情况(16.33±5.20)h、术后排气(38.25±6.16)h、留置导管(41.35±8.30)h、术后进食(55.65±12.10)h以及术后排便(118.71±24.11)h均优于对照组[(38.36±5.15)h、(77.72±12.14)h、(82.72±14.55)h、(98.36±23.14)h、(200.72±32.54)h],两组对比存在统计学意义(P<0.05)。结论:结直肠癌患者予以腹腔镜手术处理效果更为有效,其具备的手术效果和开腹手术一致,同时在一定程度上改善患者的胃肠动力,提升患者满意度。

Objective:To further analyze the clinical value of patients undergoing laparoscopic surgery and open radical surgery for colorectal cancer,and to explore changes in gastrointestinal motility.Methods:90 patients with colorectal cancer treated in our hospital from February 2018 to April 2019 were selected,and 90 patients were divided into observation groups(n=45,laparoscopic radical surgery)by central randomization The control group(n=45,undergoing radical surgery for colorectal cancer)was used to compare the changes in gastrointestinal motility of the two groups after treatment.Results:The recovery of bowel sounds in the observation group after treatment was(16.33±5.20)h,postoperative row(38.25±6.16)h,indwelling catheter(41.35±8.30)h,postoperative food intake(55.65±12.10)h and postoperative Defecation(118.71±24.11)h is better than the control group[(38.36±5.15)h,(77.72±12.14)h,(82.72±14.55)h,(98.36±23.14)h,(200.72±32.54)h],both There was statistical significance in group comparison(P<0.05).Conclusion:Laparoscopic surgery is more effective for patients with colorectal cancer,the surgical effect is the same as that of open surgery,it also improves the gastrointestinal motility of patients to a certain extent and improves patient satisfaction.