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目的探讨腹腔镜直肠癌根治术治疗老年直肠癌的临床疗效及对胃肠功能的影响。方法选取2013年5月—2015年6月我院收治的老年直肠癌患者96例为研究对象,采用随机数字表法分为观察组和对照组各48例,对照组采取传统开腹手术方式治疗,观察组在腹腔镜下实施直肠癌根治术。比较2组手术时间、术中出血量及住院时间等围术期指标,并分析胃动素与胃泌素水平,比较胃肠功能。结果观察组手术时间、住院时间、术中出血量等围术期指标均优于对照组(P<0.05);术后2组胃动素、胃泌素均下降(P<0.05),但观察组下降幅度低于对照组(P<0.05);观察组并发症发生率为4.1%,低于对照组的18.4%(P<0.05)。结论腹腔镜直肠癌根治术可有效缩短老年直肠癌患者手术时间及住院时间,降低术中出血量,并促进胃肠功能恢复,值得临床推广。
Objective To investigate the clinical efficacy of laparoscopic radical resection of rectal cancer in the treatment of rectal cancer in elderly patients and its effect on gastrointestinal function. Methods A total of 96 elderly patients with rectal cancer who were treated in our hospital from May 2013 to June 2015 were selected as the study objects and divided into observation group (48 cases) and control group (48 cases) by random number table. The control group was treated by conventional laparotomy The observation group underwent laparoscopic radical resection of rectal cancer. The operative time, intraoperative blood loss and hospitalization time were compared between the two groups. The levels of motilin and gastrin were compared, and the gastrointestinal function was compared. Results The operation time, hospital stay and intraoperative blood loss in the observation group were all better than those in the control group (P <0.05). The levels of motilin and gastrin in the observation group decreased (P <0.05) (P <0.05). The incidence of complications in the observation group was 4.1%, which was lower than that in the control group (18.4%, P <0.05). Conclusions Laparoscopic radical resection of rectal cancer can effectively shorten the operation time and hospitalization time of elderly patients with rectal cancer, reduce the amount of intraoperative blood loss, and promote gastrointestinal function recovery, worthy of clinical promotion.