腹腔镜与传统开腹手术治疗结肠癌的临床效果评价

Clinical Effect Comparison on Colonic Cancer Surgically Treated with Laparoscopic Procedure and with Open one

为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,将本院收治的64例结肠癌患者随机分为观察组和对照组,各32例。观察组采用腹腔镜根治术治疗,对照组采用传统开腹手术治疗。观察比较两组下床活动时间、胃肠道功能恢复时间、并发症及治愈率。结果显示,观察组下床活动时间(6.60±1.05)h和胃肠道功能恢复时间(5.02±1.10)h均短于对照组的(9.75±2.30)h和(7.10±2.12)h,差异有统计学意义(P<0.05)。观察组并发症发生率为3.13%明显低于对照组的18.75%;治愈率为75.00%明显高于对照组的59.38%,差异均有统计学意义。结果表明,结肠癌患者实施腹腔镜根治术较传统开腹手术,临床效果更优,并发症更少,能促进患者尽早下床活动及胃肠道功能恢复,值得临床推广应用。

This study was to investigate the clinical effect of colonic cancer surgically treated with laparoscopic procedure(LP)and with open procedure,randomly divided 64 patients with colonic cancer treated in author’s hospital into observation group(32 cases,received LP)and control group(32 cases,routine open one);then,observed and compared both groups’time for ambulation out-of-bed,the time for gastrointestinal tract function recovered,complication incidence,and curative rate.As results,in time for ambulation out-of-bed,and for intestinal tract function recovered,in complication incidence,and in curative rate observation group was respectively and significantly shorter[(6.60±1.05)h vs(9.75±2.30)h,and(5.02±1.10)h vs(7.10±2.12)h,P<0.05],lower(3.13%vs 18.75%,P<0.05),and higher(75.00%vs 59.38%,P<0.05)than control group.Results show that laparoscopic radical procedure for colonic cancer has more better effect,more less complication,and can promote patients’ambulation out-of-bed,as well gastrointestinal function recovered as early as possible,thus it worth to be popularized to use clinically.