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[目的]比较腹腔镜与开腹手术治疗高龄直肠癌患者的手术效果、远期疗效及对其生活质量的影响.[方法]随机将96例高龄直肠癌患者分为两组,观察组采取腹腔镜直肠癌根治术,对照组则行开腹手术,比较两组手术效果、术后3个月生活质量评分及随访存活情况.[结果]观察组术中出血量、下床活动时间及住院时间均明显优于对照组(P<0.05);观察组并发症总发生率为6.25%(3/48),显著低于对照组25.00%(12/48)(P<0.05);观察组术后3个月总体健康、躯体功能、疼痛、精神健康及社会功能评分均显著高于对照组(P0.05).[结论]腹腔镜、开腹手术治疗高龄直肠癌手术时间、远期疗效(3年存活率)类似,但腹腔镜相比开腹手术具有术中出血量少、术后恢复快、并发症少特点,能明显提高患者术后生活质量.“,”[Objective]To compare the long-term curative effect and the influence on the quality of life between laparoscopic surgery and open surgery in the treatment of elderly patients with rectal cancer.[Methods]Ninety-six patients with rectal cancer were randomized into two group.The observation group was treated with laparoscopic radical resection of rectal cancer,while the control group was treated with open surgery.The surgical effect,3 months postoperative quality of life score,and follow-up survival rate of patients was compared between the two groups.[Results]The intraoperative blood loss,off-bed time,and length of hospitalization of the observation group patients were significantly better than those of control group (P<0.05).The total incidence of complications in the observation group (6.25%) was significantly lower than that in the control group (25.00%) (P<0.05).The scores of overall health,physical function,pain,mental health,and social function in the observation group patient 3 months after surgery were significantly higher than those in the control group (P0.05).[Conclusion]The operation times and long-term effects of laparoscopic and open surgery in the treatment of rectal cancer are similar.However,laparoscopic surgery allows for less intraoperative blood loss,quicker postoperative recovery,and fewer complications.It can significantly improve the postoperative quality of life of patients.