大肠癌患者内镜微创手术治疗的有效性探讨

Efficacy of minimally invasive endoscopic surgery for colorectal cancer patients

目的探讨大肠癌患者内镜微创手术治疗的有效性。方法选取2019年1—12月因大肠癌于本院治疗的100例患者为研究对象,随机分为对照组与研究组,每组50例。对照组采用传统的开腹手术治疗,研究组采用内镜微创手术治疗。比较两组康复指标、并发症情况、复发、转移及身体状况。结果与对照组比较,研究组术后引流时间、下床活动时间及肛门排气时间均较短(P<0.05);与对照组比较,研究组并发症发生率较低(P<0.05);与对照组比较,研究组局部复发及远处转移率较低,卡氏评分较高(P<0.05)。结论采用内镜微创手术治疗大肠癌患者,疗效显著,且并发症情况较少,病情复发率显著降低,利于患者远期预后。

Objective To investigate the efficacy of minimally invasive endoscopic surgery for colorectal cancer.Methods A total of 100 patients with colorectal cancer who came to our hospital from January to December 2019 were randomly divided into control group and study group,with 50 cases in each group.The control group was treated with traditional open surgery,while the study group was treated with minimally invasive endoscopic surgery.The recovery indexes,complications,recurrence,metastasis and physical condition between the two groups were compared.Results Compared with the control group,the time of postoperative drainage,ambulation and anal exhaust was less in the study group(P<0.05).The complication rate of the study group was lower than that of the control group(P<0.05).Compared with the control group,the rate of local recurrence and distant metastasis in the study group was lower,and the Cargill score was higher(P<0.05).Conclusion The minimally invasive endoscopic surgery for colorectal cancer is effective,with fewer complications and significantly reduced disease recurrence,which is beneficial to the long-term prognosis of the patients.