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目的探讨腹腔镜与开放手术治疗直肠癌的临床疗效。方法 168例直肠癌患者,根据治疗方式不同分为对照组和研究组,各84例。研究组患者给予腹腔镜术式进行治疗,对照组患者行开放手术治疗,分析两组患者的临床治疗效果。结果两组患者均顺利完成手术,虽对照组手术时间(2.11±0.30)h短于研究组的(2.45±0.52)h,但研究组术中出血量(40.71±8.84)ml、术后住院时间(10.78±0.34)d均优于对照组的(81.82±10.74)ml、(14.18±0.57)d(P<0.05)。对照组患者的远期并发症发生率9.52%,高于研究组的1.19%(P<0.05)。两组患者住院及随防期间无死亡病例。结论腹腔镜手术治疗直肠癌和开放手术治疗的远期生存率、复发情况差异不大,但腹腔镜手术治疗的创伤小,缩短了住院时间,并发症的发生率低,有效地减少了患者的痛苦,值得在临床上推广使用。
Objective To investigate the clinical efficacy of laparoscopy and open surgery in the treatment of rectal cancer. Methods A total of 168 patients with rectal cancer were divided into control group and study group according to different treatment methods, with 84 cases in each. Patients in the study group were treated with laparoscopic surgery, patients in the control group were treated with open surgery, and the clinical effects of the two groups were analyzed. Results The two groups of patients completed the operation successfully. Although the operation time in the control group (2.11 ± 0.30) h was shorter than that in the study group (2.45 ± 0.52) h, the bleeding volume in the study group was (40.71 ± 8.84) ml and the postoperative hospital stay (10.78 ± 0.34) d were better than that of the control group (81.82 ± 10.74) ml and (14.18 ± 0.57) d respectively (P <0.05). The incidence of long-term complication in the control group was 9.52%, which was higher than that in the study group (1.19%, P <0.05). Two groups of patients hospitalized and no deaths during the prevention. Conclusions The long-term survival rate and recurrence of patients undergoing laparoscopic surgery for rectal cancer and open surgery are not significantly different, but the trauma of laparoscopic surgery is shortened and hospitalization time is shortened, the complication rate is low, and the patients’ Pain, it is worth promoting in clinical use.