腹腔镜联合结肠镜手术治疗结直肠肿瘤的临床疗效

Clinical effect of laparoscopy combined with colonoscopy in the treatment of colorectal tumors

目的观察腹腔镜联合结肠镜手术治疗结直肠肿瘤的临床疗效。方法选取2018年6月至2020年6月本院收治的82例结直肠肿瘤患者作为研究对象,随机分为观察组与对照组,各41例。对照组采用开腹手术治疗,观察组采用腹腔镜联合结肠镜手术治疗,比较两组手术情况、并发症发生情况及术后恢复情况。结果观察组手术操作时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05),且两组病灶切除长度比较差异无统计学意义;观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组肠鸣音恢复时间、首次排气时间均早于对照组,引流管留置时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。结论腹腔镜联合结肠镜手术治疗结直肠肿瘤患者,临床疗效较好,术后并发症更少、恢复快,安全有效,值得临床推广应用。

Objective To observe the clinical efficacy of laparoscopic combined with colonoscopy in the treatment of colorectal tumors.Methods A total of 82 patients with colorectal tumor admitted to our hospital from June 2018 to June 2020 were selected as research subjects,and they were randomly divided into observation group and control group,with 41 cases in each group.The control group was treated with open surgery,and the observation group was treated with laparoscopy combined with colonoscopy,the operation,complications and postoperative recovery were compared between the two groups.Results The operation time in the observation group was shorter than that in the control group,and the intraoperative blood loss was less than that of the control group,the differences were statistically significant(P<0.05),and there was no statistically significant difference in the length of lesion resection between two groups.The complication rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The intestinal sound recovery time and first exhaust time of observation group were earlier than control group,and the indwelling time of drainage tube and length of hospitalization were shorter than control group,the differences were statistically significant(P<0.05).Conclusion The laparoscopic combined with colonoscopy in the treatment of colorectal tumors is effective,with fewer postoperative complications and good recovery,safe and effective,which is worthy of clinical promotion and application.