腹腔镜直肠癌根治术与Dixon直肠癌根治术的临床疗效对比(1)
摘要：目的 對比腹腔镜直肠癌根治术与Dixon直肠癌根治术的临床疗效。方法 选择我院2012年2月～2013年2月收治的直肠癌患者96例，按照随机的方法将患者分为对照组和观察组两组，每组各48例。对照组予以Dixon直肠癌根治术，观察组实施腹腔镜直肠癌根治术，对比两组的手术相关指标及术后恢复情况。结果 对照组患者的手术时间、淋巴结清扫数量与观察组比较无统计学差异(P>0.05)；观察组患者的术中出血量为(125.4±22.0)ml，少于对照组的(170.5±25.6)ml；观察组术后肛门排气时间、下床活动时间和住院时间分别为(2.5±1.0)d、(3.8±1.2)d和(12.0±2.0)d，均明显短于对照组的(4.2±1.2)d、(5.4±1.5)d和(17.5±2.5)d，两组的差异有统计学意义(P<0.05)。观察组的并发症发生率和术后3年的生存率分为6.30%、85.40%，对照组分别为25.00%、83.30%，对照组的并发症发生率高于观察组，两组差异显著(P<0.05)；两组术后3年的生存率无明显差异(P>0.05)。结论 腹腔镜直肠癌根治术与Dixon直肠癌根治术具有同样的效果，但腹腔镜直肠癌根治术对患者造成的创伤小，术后的并发症少，患者可更快恢复。
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关键词：腹腔镜直肠癌根治术；直肠癌；Dixon术
中图分类号：R735.37 文献标识码：A 文章编号：1006-1959(2017)25-0036-03
Abstract：Objective To compare the clinical efficacy of laparoscopic radical mastectomy with radical resection of Dixon rectal cancer.Methods A total of 96 patients with rectal cancer admitted to our hospital from February 2012 to February 2013 were randomly divided into control group and observation group，48 cases in each group.The control group was treated with Dixon's radical resection of rectal cancer.The observation group underwent laparoscopic radical resection of rectal cancer.The operation-related indexes and postoperative recovery were compared between the two groups.Results The operation time and the number of lymph node dissection in the control group were not significantly different from those in the observation group (P>0.05).The bleeding volume in the observation group was(125.4±22.0)ml less than that in the control group(170.5±25.6)ml.The anal exhaust time，ambulation time and hospital stay in the observation group were(2.5±1.0)d，(3.8±1.2)d and(12.0±2.0)d，respectively，were significantly shorter than those in the control group(4.2±1.2)d，(5.4±1.5)d and(17.5±2.5)d，respectively)，the difference between the two groups was statistically significant(P<0.05).The incidence of complications and postoperative 3 year survival rate in the observation group were 6.30% and 85.40%，respectively，and 25.00% and 83.30% in the control group，respectively.The incidence of complications in the control group was higher than that in the observation group，and the difference between the two groups was significant(P<0.05).There was no significant difference in the survival rate between the two groups after 3 years(P>0.05).Conclusion Laparoscopic radical resection of rectal cancer has the same effect as radical resection of Dixon rectal cancer.However，laparoscopic radical resection of rectal cancer causes less trauma to the patient and less postoperative complications.Patients can recover more quickly., 百拇医药(刘艳 赵莉 吴开军)
, http://www.100md.com
关键词：腹腔镜直肠癌根治术；直肠癌；Dixon术
中图分类号：R735.37 文献标识码：A 文章编号：1006-1959(2017)25-0036-03
Abstract：Objective To compare the clinical efficacy of laparoscopic radical mastectomy with radical resection of Dixon rectal cancer.Methods A total of 96 patients with rectal cancer admitted to our hospital from February 2012 to February 2013 were randomly divided into control group and observation group，48 cases in each group.The control group was treated with Dixon's radical resection of rectal cancer.The observation group underwent laparoscopic radical resection of rectal cancer.The operation-related indexes and postoperative recovery were compared between the two groups.Results The operation time and the number of lymph node dissection in the control group were not significantly different from those in the observation group (P>0.05).The bleeding volume in the observation group was(125.4±22.0)ml less than that in the control group(170.5±25.6)ml.The anal exhaust time，ambulation time and hospital stay in the observation group were(2.5±1.0)d，(3.8±1.2)d and(12.0±2.0)d，respectively，were significantly shorter than those in the control group(4.2±1.2)d，(5.4±1.5)d and(17.5±2.5)d，respectively)，the difference between the two groups was statistically significant(P<0.05).The incidence of complications and postoperative 3 year survival rate in the observation group were 6.30% and 85.40%，respectively，and 25.00% and 83.30% in the control group，respectively.The incidence of complications in the control group was higher than that in the observation group，and the difference between the two groups was significant(P<0.05).There was no significant difference in the survival rate between the two groups after 3 years(P>0.05).Conclusion Laparoscopic radical resection of rectal cancer has the same effect as radical resection of Dixon rectal cancer.However，laparoscopic radical resection of rectal cancer causes less trauma to the patient and less postoperative complications.Patients can recover more quickly., 百拇医药(刘艳 赵莉 吴开军)
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