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目的:探讨腹腔镜手术治疗结肠癌的临床效果。方法:选取我院结肠癌患者44例,随机分为观察组和对照组,各22例,观察组行腹腔镜手术,对照组行开腹手术,比较两组的治疗效果和安全性。结果:两组患者的手术时间差异无统计学意义(P>0.05),观察组的术中出血量明显少于对照组,差异有统计学意义(P<0.05),观察组术后排气时间、术后疼痛时间和住院时间均比对照组更短,差异有统计学意义(P<0.05)。观察组和对照组并发症发生率分别为9.09%和22.73%,差异有统计学意义(P<0.05)。两组患者3年内局部复发、远处转移、种植转移和总生存率差异均无统计学意义(P<0.05)。结论:腹腔镜手术治疗结肠癌有效、安全,具有创伤小,恢复快,并发症少等优点,适合临床广泛应用。
Objective: To investigate the clinical effect of laparoscopic surgery for colon cancer. Methods: Forty-four patients with colon cancer in our hospital were randomly divided into observation group and control group, with 22 cases in each group. The observation group underwent laparoscopic surgery and the control group underwent laparotomy. The therapeutic effect and safety of the two groups were compared. Results: There was no significant difference in operation time between the two groups (P> 0.05). The intraoperative blood loss in the observation group was significantly less than that in the control group (P <0.05). The postoperative exhaust time , Postoperative pain time and hospitalization time were shorter than the control group, the difference was statistically significant (P <0.05). The incidences of complications in observation group and control group were 9.09% and 22.73%, respectively, with statistical significance (P <0.05). There was no significant difference between the two groups in local recurrence, distant metastasis, implantation metastasis and overall survival within 3 years (P <0.05). Conclusion: Laparoscopic surgery for the treatment of colon cancer is effective and safe. It has the advantages of less trauma, faster recovery and fewer complications. It is suitable for clinical application.