健康大视野·医学分册2023,Issue(9) :36-37.

经自然腔道取标本手术与常规腹腔镜手术治疗直肠癌的效果比较

王子晨 李涛 张俊华
健康大视野·医学分册2023,Issue(9) :36-37.

经自然腔道取标本手术与常规腹腔镜手术治疗直肠癌的效果比较

王子晨 1李涛 2张俊华3
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作者信息

  • 1. 锦州医科大学辽宁省健康产业集团抚矿总医院研究生培养基地,辽宁 抚顺 113000
  • 2. 辽宁省健康产业集团抚矿总医院普外科,辽宁 抚顺 113000
  • 3. 锦州医科大学附属第三医院普外科,辽宁 锦州 121000
  • 折叠

摘要

目的:探讨经自然腔道取标本手术(NOSES)与常规腹腔镜手术治疗直肠癌的效果比较.方法:回顾性分析2017年10月至2021年12月于辽宁省健康产业集团抚矿总医院实施的202例腹腔镜直肠癌根治术患者的病例资料,根据NOSES手术和常规腹腔镜下直肠癌根治手术两种手术方式分为试验组(n=51)和对照组(n=151).对比两组患者临床疗效.结果:试验组与对照组的基础数据比较差异无统计学意义(P>0.05).试验组在术后第1天、4天疼痛评分、额外止痛药物使用、首次排气时间、首次进食时间及术后住院时间,腹部切口长度

Abstract

Objective To compare the effect of NOSES and conventional laparoscopic surgery in the treatment of rectal cancer.Methods the clinical data of 202 patients who underwent laparoscopic radical resection of rectal cancer in Fukuang General Hospital of Liaoning Health Industry Group from October 2017 to December 2021 were retrospectively analyzed.According to NOSES operation and conventional laparoscopic radical resection of rectal cancer, patients were divided into two groups: experimental group (nasty 51) and control group (nasty 151).The clinical effects of the two groups were compared.Results there was no significant difference in basic data between the test group and the control group (P > 0.05).The pain score on the 1st and 4th day after operation, the use of additional analgesics, the time of first exhaust, the time of eating for the first time and the length of abdominal incision in the test group were superior to those in the control group, and the difference was statistically significant (P<0.05).Conclusion The NOSES are equivalent to conventional laparoscopic surgery, and the NOSES are more aesthetically pleasing, the degree of postoperative pain is lighter, the recovery is faster, and it is less traumatic, which can benefit patients.

关键词

直肠癌/腹腔镜技术/经自然腔道取标本手术/倾向性得分匹配

Key words

rectal cancer/Laparoscopic technique/Natural lumen sampling operation/PSM

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出版年

2023
健康大视野·医学分册
中国保健协会

健康大视野·医学分册

ISSN:1005-0019
参考文献量7
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