论文部分内容阅读
目的观察腹腔镜低位直肠癌根治保肛术治疗低位直肠癌的临床疗效。方法选取2015年重庆市黔江中心医院收治的直肠癌患者252例,采用随机数字表法分为试验组和对照组,每组126例。试验组患者采用腹腔镜低位直肠癌根治保肛术,对照组患者采用经腹低位切除和腹膜外吻合术。比较两组患者视觉模拟评分、精神功能测验评分及术后并发症情况。结果试验组患者视觉模拟评分、精神功能测验评分均高于对照组(P<0.05)。试验组患者术后认知功能障碍、病灶出血、局灶炎症发生率均低于对照组(P<0.05)。结论腹腔镜低位直肠癌根治保肛术可有效治疗低位直肠癌,并减少患者术后认知功能障碍和并发症的发生。
Objective To observe the effect of laparoscopic radical rectal cancer preservation anal surgery for low rectal cancer. Methods 252 cases of rectal cancer admitted to Qianjiang Central Hospital in Chongqing in 2015 were randomly divided into experimental group and control group with 126 cases in each group. The patients in the experimental group were treated with laparoscopic low rectal cancer and the control group were treated with transabdominal low-level resection and extraperitoneal anastomosis. The visual analog scale, mental function test scores and postoperative complications were compared between the two groups. Results The scores of visual analogue scale and mental function test in test group were higher than those in control group (P <0.05). The postoperative cognitive impairment, focal hemorrhage and focal inflammation in the experimental group were significantly lower than those in the control group (P <0.05). Conclusions Laparoscopic radical rectal cancer preserving anus can effectively treat low rectal cancer and reduce postoperative cognitive dysfunction and complications.