腹腔镜直肠癌手术与传统开腹直肠癌手术的临床疗效对比研究

来源:用户上传      作者:王海波

　　摘 要：目的 探究腹腔R直肠癌手术与传统开腹直肠癌手术的临床疗效。方法 选取2019年1月～2020年1月赤峰市医院收治的50例直肠癌患者为研究对象，采用抽签法随机分为参照组、研究组，每组25例。参照组予传统开腹根治术，研究组予腹腔镜根治术。对比两组患者手术各项指标、疼痛程度、生存质量、胃肠功能、不良反应发生率。结果 研究组患者手术各项指标如切口长度、术中出血量、肠鸣音恢复时间、肛门排便时间与住院时间均低于参照组，差异有统计学意义（P<0.05）;研究组患者术后1 d、3 d、5 d的疼痛评分均低于参照组，差异有统计学意义（P<0.05）;研究组患者生存质量评分均高于参照组，差异有统计学意义（P<0.05）;研究组患者胃功能指标改善程度优于参照组，差异有统计学意义（P<0.05）;研究组患者不良反应发生率低于参照组，差异有统计学意义（P<0.05）。结论 直肠癌患者采用腹腔镜根治术治疗的疗效突出，有助于患者胃肠功能快速恢复，可减少不良反应，并提高患者的生存质量，手术安全性高，值得临床应用。
　　关键词：腹腔镜直肠癌手术;传统开腹根治术;直肠癌;疗效
　　中图分类号：R735.3 文献标识码：A 文章编号：1009-8011（2022）-8-0013-04
　　A Comparative Study of Clinical Efficacy between Laparoscopic Rectal Cancer Surgery and Traditional Open Rectal Cancer Surgery
　　WANG Hai-bo
　　（Chifeng City Hospital， Chifeng Inner Mongolia Autonomous Region 024000， China）
　　Abstract： Objective To explore the clinical efficacy of laparoscopic rectal cancer surgery and traditional open rectal cancer surgery. Methods A total of 50 patients with rectal cancer admitted to Chifeng City Hospital from January 2019 to January 2020 were selected as the research objects， and randomly divided into a control group and a research group， with 25 cases in each group. The control group was underwent traditional open radical surgery， while the research group was underwent laparoscopic radical surgery. The surgical indicators， such as pain degree， quality of life， gastrointestinal function and incidence of adverse reactions were compared between the two groups. Results The surgical indicators in the research group， such as incision length， intraoperative blood loss， bowel sound recovery time， anal defecation time and hospitalization time， were significant lower than those in the control group （P<0.05）. The pain scores of the patients in the research group at 1 d， 3 d， and 5 d after operation were significant lower than those in the control group （P<0.05）. The scores of quality life for the patients in the research group were significant higher than those in the control group （P<0.05）. The improvement of gastric function indexes in the research group was significant better than that in the control group （P<0.05）. The incidence of adverse reactions in the research group was significant lower than that in the control group （P<0.05）. Conclusions The curative effect of laparoscopic radical resection for rectal cancer patients is outstanding， which is helpful for the rapid recovery of gastrointestinal function， reduces adverse reactions， and improves the quality of life of patients. Collectively， the operation is safe and worthy of clinical application.

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