论文部分内容阅读
目的：研究对直肠癌患者采用腹腔镜下行直肠系膜全切术治疗的临床意义。方法选取在2010年6月至2013年2月间到我院诊治的80例直肠癌患者，随机分为两组，其中观察组40例，采用腹腔镜下行直肠系膜全切术的方式进行治疗，对照组40例，采取开腹下直肠系膜全切术进行治疗。分别对两组患者的手术状况、术后并发症及患者预后情况进行观察，记录并比较。结果观察组患者术中出血量、术后肛门排气时间、术后下床活动时间及住院时间明显优于对照组，差异具有统计学意义P＜0.05。观察组患者术后并发症发生率为7.5%比对照组的37.5%明显降低，且复发及转移也明显减少，存活率明显增高，比较差异有统计学意义P＜0.05。结论临床上对直肠癌患者采取腹腔镜下行直肠系膜全切术的方式进行治疗，对提高患者的手术情况、减少术后并发症及改善预后等方面有着显著的影响，治疗效果更好，值得在临床推广。“,”Objective:Study on the clinical results oflaparoscopic total mesorectal excisionof rectal cancer. Method:From June 2012 to July 2013, 80rectal cancerpatients in our hospital were selected.We divided the patients into two groups. In the observation group, 40 patients were treated withlaparoscopic total mesorectal excision; In the control group, 40 patients were treated with open surgery.Operation condition, postoperative complications and prognosis of two groups were observed, recorded and compared.Results: The amount of intraoperative bleeding, postoperative anal exhaust time, postoperative ambulation time and time of hospitalization of observation group was significantly better than the control group, with significant difference (p<0.05).The observation group’s complication rate was 7.5%,significantly lower than the control group’s 37.5%.Conclusion:UsingThe laparoscopic total mesorectal excision hasa significant impact on the patients of rectal cancer;it is worth the clinical promotion.