手术治疗结肠癌合并肠梗阻的临床疗效分析及评价

Clinical Analysis and Evaluation of Surgical Treatment of Colon Cancer Complicated with Intestinal Obstruction

目的 针对结肠癌合并肠梗阻手术治疗的临床疗效。方法 将我院普外科(2019年8月-2020年8月)收治的患者进行研究,开展传统开腹与腹腔镜手术治疗,对比临床疗效(临床疗效、临床指标、疼痛情况、生活质量与并发症情况)。结果 观察组的治疗有效率(97.37%)明显高于对照组(81.58%),对比有统计学差异(P<0.05)。观察组的手术出血量明显少于对照组,而手术时长以及留院时长也短于对照组,对比有统计学差异(P<0.05)。两组的疼痛情况在手术前对比差异无统计学意义(P>0.05)。观察组手术后的VAS以及VRS评分明显低于对照组,对比有统计学差异(P<0.05)。两组的生活质量在手术前对比差异无统计学意义(P>0.05)。观察组手术后的生理功能、精神状态、身体状况以及睡眠质量评分明显高于对照组,对比有统计学差异(P<0.05)。观察组的并发症发生率(5.26%)明显低于对照组(21.05%),对比有统计学差异(P<0.05)。结论 腹腔镜手术能提升结肠癌合并肠梗阻的手术效果,提高手术效果,缓解疼痛情况,改善生活质量,降低并发症,值得基层医院推广。

Objective To evaluate the clinical efficacy of surgical treatment for colon cancer combined with intestinal obstruction. Methods The patients admitted to the general surgery department of our hospital(August 2019 to August 2020) were studied to carry out traditional laparotomy and laparoscopic surgery, and compare the clinical efficacy(clinical efficacy, clinical indicators, pain, quality of life and complications). Results The treatment response rate of the observation group(97.37%)was significantly higher than that of the control group(81.58%), and the comparison was statistically different(P<0.05). Surgical blood loss was significantly less in the observation group than in the control group, while surgical duration as well as length of stay in hospital were also shorter than in the control group, with statistically significant differences between the contrast(P<0.05). The pain condition was not statistically different between the two groups before surgery(P> 0.05). The VAS and VRS scores after surgery in the observation group were significantly lower than those in the control group, with a statistical difference between the contrast(P<0.05). Quality of life in the two groups was not statistically different before versus after surgery(P>0.05). The physical function, mental status, physical status, as well as sleep quality scores after surgery in the observation group were significantly higher than those in the control group, with statistically significant differences(P<0.05). The complication rate of the observation group(5.26%) was significantly lower than that of the control group(21.05%), and the comparison was statistically different(P<0.05). Conclusion Laparoscopic surgery can enhance the surgical outcomes of colon cancer with intestinal obstruction, improve the surgical outcomes, relieve pain conditions, improve quality of life, and reduce complications, which is worth promoting in primary hospitals.