首页|腹腔镜结直肠癌根治术在结直肠癌患者治疗中应用的效果分析

腹腔镜结直肠癌根治术在结直肠癌患者治疗中应用的效果分析

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目的 探究腹腔镜结直肠癌根治术治疗结直肠癌的效果.方法 随机选取2020年1月—2023年6月临淄区妇幼保健医院(齐都医院)收治的70例结直肠癌患者为研究对象,根据治疗方式不同分为两组,对照组(35例)行常规开腹手术,研究组(35例)行腹腔镜结直肠癌根治术.比较两组患者临床指标、肠道恢复情况、炎症因子、并发症发生率.结果 两组患者切口长度比较,差异无统计学意义(P>0.05).两组患者临床指标(手术时间、术中出血量、住院时间)比较,研究组均优于对照组,差异有统计学意义(P均<0.05).研究组排气恢复时间、进食恢复时间、腹胀持续时间、肠鸣音消失时间均短于对照组,差异有统计学意义(P均<0.05).术前,两组患者炎症因子水平比较,差异无统计学意义(P>0.05).术后,两组患者炎症因子水平高于治疗前,但研究组低于对照组,差异有统计学意义(P<0.05).研究组并发症总发生率[2.86%(1/35)]低于对照组[20.00%(7/35)],差异有统计学意义(χ2=5.081,P=0.024).结论 腹腔镜结直肠癌根治术治疗结直肠癌患者效果显著,可以减少组织创伤,并有效降低手术引发的炎症反应.
Analysis of the Effect of Laparoscopic Radical Colorectal Cancer Surgery in the Treatment of Colorectal Cancer Patients
Objective To explore the effect of laparoscopic radical colorectal cancer in the treatment of colorectal can-cer.Methods 70 colorectal cancer patients admitted to Linzi District Maternal and Child Health Hospital(Qidu Hospi-tal)from January 2020 to June 2023 were randomly selected as the study objects,and were divided into two groups ac-cording to different treatment methods.The control group(35 cases)underwent conventional open surgery,and the study group(35 cases)underwent laparoscopic radical resection of colorectal cancer.The clinical indexes,intestinal recovery,inflammatory factors and complication rate were compared between the two groups.Results There was no sig-nificant difference in incision length between the two groups(P>0.05).The clinical indexes(operation time,intraopera-tive blood loss,length of hospital stay)of the two groups were compared,and the study group was better to the control group,and the differences were statistically significant(all P<0.05).The exhaust recovery time,eating recovery time,abdominal distension duration and bowel sound disappearance time of the study group were shorter than those of the control group,and the differences were statistically significant(all P<0.05).Before operation,there was no significant difference in the levels of inflammatory factors between two groups(P>0.05).After operation,the level of inflammatory factors in the two groups was higher than before treatment,but the study group was lower than the control group,the difference was statistically significant(P<0.05).The total complication rate of the study group[2.86%(1/35)]was lower than that of the control group[20.00%(7/35)],and the difference was statistically significant(χ2=5.081,P=0.024).Conclusion Laparoscopic radical resection of colorectal cancer has a significant effect on patients with colorec-tal cance r,reducing tissue trauma and effectively reducing the inflammatory response caused by surgery.

Laparoscopic radical resection of colorectal cancerColorectal cancerOpen surgeryTreatment effect

张华

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临淄区妇幼保健院(齐都医院)普外二科,山东 淄博 255400

腹腔镜结直肠癌根治术 结直肠癌 开腹手术 治疗效果

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(21)