腹腔镜辅助与开腹直肠根治手术临床对比研究(1)
【摘要】 目的：對比分析腹腔镜辅助与开腹手术在直肠根治术中的临床治疗效果。方法：选取2015年5月-2016年5月本院行直肠根治手术治疗的患者69例。按照治疗方式不同将其分为对照组(n=34)与观察组(n=35)。对照组采用传统开腹手术方式治疗，观察组采用腹腔镜辅助方式治疗。比较两组治疗情况(手术时间、术中失血量、术后排气时间、住院时间)、术后下床活动时间、引流管拔出时间、疼痛及并发症发生情况。结果：观察组术中失血量、手术时间、术后排气时间、住院时间分别为(50.02±3.65)mL、(120.56±6.26)min、(2.67±0.61)d、(13.01±1.62)d，均优于对照组的(200.65±26.31)mL、(123.21±3.62)min、(4.28±0.21)d、(16.76±2.03)d，比较差异均有统计学意义(P<0.05)；观察组术后下床活动时间、引流管拔出时间、疼痛率分别为(3.0±0.2)d、(6.3±1.2)d、5.71%，均优于对照组的(6.0±0.9)d、(8.9±1.6)d、23.53%；观察组并发症发生率为0，低于对照组的11.76%，比较差异有统计学意义( 字2=4.371，P=0.037)。结论：采用腹腔镜辅助方式进行直肠根治手术治疗，其有利于减少患者术中失血量、术后排气时间以及住院时间等，同时降低患者并发症发生率，值得临床借鉴与推广。
【关键词】 腹腔镜辅助； 开腹； 直肠根治手术
【Abstract】 Objective：To compare and analyze the clinical effect of laparoscopic assisted and open rectum radical operation.Method：A total of 69 patients who were treated with rectum radical operation from May 2015 to May 2016 were selected.According to different treatment methods，they were divided into control group(n=34) and observation group(n=35).The control group was treated with traditional laparotomy，and the observation group was treated by laparoscopic assisted.The treatment condition(operative time，intraoperative blood loss，postoperative exhaust time，hospitalization time)，postoperative out of bed activity time，drawing time of drainage tube，pain and complications between two groups were compared.Result：The operative time，intraoperative blood loss，postoperative exhaust time，hospitalization time in observation group were(50.02±3.65)mL，(120.56±6.26)min，(2.67±0.61)d，(13.01±1.62)d respectively，which were better than(200.65±26.31)mL，(123.21±3.62)min，(4.28±0.21)d，(16.76±2.03)d in control group，the differences were statistically significant(P<0.05).The postoperative out of bed activity time，drawing time of drainage tube and pain rate in observation group were(3.0±0.2)d，(6.3±1.2)d and 5.71%，which were better than(6.0±0.9)d，(8.9±1.6)d and 23.53% in control group，the differences were statistically significant(P<0.05).The incidence of complications in observation group was 0，which was lower than 11.76% of control group，the difference was statistically significant( 字2=4.371，P=0.037).
Conclusion：Laparoscopic assisted radical rectal surgery is beneficial to reduce blood loss during operation，postoperative exhaust time and hospitalization time，and reduce the incidence of complications in patients，which is worthy of clinical reference and promotion.
【Key words】 Laparoscopy assisted； Open abdomen； Rectum radical operation, 百拇医药(刘华)
【关键词】 腹腔镜辅助； 开腹； 直肠根治手术
【Abstract】 Objective：To compare and analyze the clinical effect of laparoscopic assisted and open rectum radical operation.Method：A total of 69 patients who were treated with rectum radical operation from May 2015 to May 2016 were selected.According to different treatment methods，they were divided into control group(n=34) and observation group(n=35).The control group was treated with traditional laparotomy，and the observation group was treated by laparoscopic assisted.The treatment condition(operative time，intraoperative blood loss，postoperative exhaust time，hospitalization time)，postoperative out of bed activity time，drawing time of drainage tube，pain and complications between two groups were compared.Result：The operative time，intraoperative blood loss，postoperative exhaust time，hospitalization time in observation group were(50.02±3.65)mL，(120.56±6.26)min，(2.67±0.61)d，(13.01±1.62)d respectively，which were better than(200.65±26.31)mL，(123.21±3.62)min，(4.28±0.21)d，(16.76±2.03)d in control group，the differences were statistically significant(P<0.05).The postoperative out of bed activity time，drawing time of drainage tube and pain rate in observation group were(3.0±0.2)d，(6.3±1.2)d and 5.71%，which were better than(6.0±0.9)d，(8.9±1.6)d and 23.53% in control group，the differences were statistically significant(P<0.05).The incidence of complications in observation group was 0，which was lower than 11.76% of control group，the difference was statistically significant( 字2=4.371，P=0.037).
Conclusion：Laparoscopic assisted radical rectal surgery is beneficial to reduce blood loss during operation，postoperative exhaust time and hospitalization time，and reduce the incidence of complications in patients，which is worthy of clinical reference and promotion.
【Key words】 Laparoscopy assisted； Open abdomen； Rectum radical operation, 百拇医药(刘华)