腹腔镜结肠癌根治术与开腹手术的临床疗效对比研究(1)
[摘要] 目的 對比腹腔镜根治术与开腹手术治疗结肠癌的临床疗效。方法 应用随机分组方法将方便选取2016年1月—2017年12月来该院接受手术治疗的结肠癌患者80例平均分为两组，每组40例，给予对照组传统开腹手术，给予观察组腹腔镜结肠癌根治术，对比两组患者的手术时间、术中出血量、住院时间、术后排气时间、并发症发生率与半年存活率。结果 与对照组相比，观察组的手术时间[(142.5±9.6)min vs (174.2±12.5)min](t=12.721，P=0.000)、术中出血量[(96.3±7.6)mL vs (175.2±12.9)mL](t=33.329，P=0.000)、住院时间[(3.3±0.5)d vs (8.8±1.3d)d](t=24.974，P=0.000)、术后排气时间[(16.5±3.8)h vs (42.8±8.6)h](t=17.691，P=0.000)、并发症发生率[7.5% vs 27.5%](χ2=13.853，P=0.000)显著较低，半年存活率[97.5% vs 90.0%](χ2=4.800，P=0.028)显著较高，差异有统计学意义(P<0.05)。 结论 针对结肠癌患者给予腹腔镜根治术不仅能缩短手术时间，降低术中出血量，促进患者肠道功能尽快恢复，保证患者尽快康复出院，而且还能降低术后并发症的发生率，确保患者的后期存活率，临床上推广应用很有价值。
[关键词] 腹腔镜；结肠癌根治术；开腹手术；临床效果
[中图分类号] R735.35 [文献标识码] A [文章编号] 1674-0742(2018)11(a)-0088-03
[Abstract] Objective To compare the clinical efficacy of laparoscopic radical surgery and open surgery for colon cancer. Methods A total of 80 colon cancer patients who underwent surgery in the hospital from January 2016 to December 2017 were conveniently selected and divided into two groups， 40 patients in each group. The patients were given traditional open surgery and given to the observation group. Laparoscopic radical resection of colon cancer， compared with the operation time， intraoperative blood loss， hospital stay， postoperative exhaust time， complication rate and half-year survival rate of the two groups. Results Compared with the control group， the operation time of the observation group [(142.5±9.6) min vs (174.2±12.5) min] (t=12.721， P=0.000)， intraoperative blood loss [(96.3±7.6)mL vs (175.2±12.9)mL] (t=33.329， P=0.000)， hospital stay [(3.3±0.5)d vs (8.8±1.3d)d] (t=24.974， P=0.000)， postoperative exhaust time [(16.5±3.8)h vs (42.8±8.6)h] (t=17.691， P=0.000)， complication rate [7.5% vs 27.5%] (χ2=13.853， P=0.000) was significantly lower， half a year survival rate [97.5% vs 90.0%] (χ2=4.800， P=0.028) was significantly higher， and the difference was statistically significant (P<0.05). Conclusion Laparoscopic radical surgery for patients with colon cancer can not only shorten the operation time， reduce the amount of intraoperative blood loss， promote the recovery of intestinal function as soon as possible， ensure the patient's recovery and discharge as soon as possible， but also reduce the incidence of postoperative complications and ensure the incidence of postoperative complications. The patient's late survival rate is of great value in clinical application.
[Key words] Laparoscopic； Radical resection of colon cancer； Open surgery； Clinical effect, 百拇医药(季伟 王瞿辉)
[关键词] 腹腔镜；结肠癌根治术；开腹手术；临床效果
[中图分类号] R735.35 [文献标识码] A [文章编号] 1674-0742(2018)11(a)-0088-03
[Abstract] Objective To compare the clinical efficacy of laparoscopic radical surgery and open surgery for colon cancer. Methods A total of 80 colon cancer patients who underwent surgery in the hospital from January 2016 to December 2017 were conveniently selected and divided into two groups， 40 patients in each group. The patients were given traditional open surgery and given to the observation group. Laparoscopic radical resection of colon cancer， compared with the operation time， intraoperative blood loss， hospital stay， postoperative exhaust time， complication rate and half-year survival rate of the two groups. Results Compared with the control group， the operation time of the observation group [(142.5±9.6) min vs (174.2±12.5) min] (t=12.721， P=0.000)， intraoperative blood loss [(96.3±7.6)mL vs (175.2±12.9)mL] (t=33.329， P=0.000)， hospital stay [(3.3±0.5)d vs (8.8±1.3d)d] (t=24.974， P=0.000)， postoperative exhaust time [(16.5±3.8)h vs (42.8±8.6)h] (t=17.691， P=0.000)， complication rate [7.5% vs 27.5%] (χ2=13.853， P=0.000) was significantly lower， half a year survival rate [97.5% vs 90.0%] (χ2=4.800， P=0.028) was significantly higher， and the difference was statistically significant (P<0.05). Conclusion Laparoscopic radical surgery for patients with colon cancer can not only shorten the operation time， reduce the amount of intraoperative blood loss， promote the recovery of intestinal function as soon as possible， ensure the patient's recovery and discharge as soon as possible， but also reduce the incidence of postoperative complications and ensure the incidence of postoperative complications. The patient's late survival rate is of great value in clinical application.
[Key words] Laparoscopic； Radical resection of colon cancer； Open surgery； Clinical effect, 百拇医药(季伟 王瞿辉)