首页|经脐单孔+1孔腹腔镜下结直肠癌根治术对结直肠癌患者疼痛应激反应及胃肠激素水平的影响

经脐单孔+1孔腹腔镜下结直肠癌根治术对结直肠癌患者疼痛应激反应及胃肠激素水平的影响

扫码查看
目的 探讨经脐单孔+1 孔腹腔镜下结直肠癌根治术对结直肠癌患者疼痛应激反应及胃肠激素水平的影响。方法 选取2020年7月至2022年7月我科收治的90例结直肠癌患者为研究对象,以随机数字表法将其分为对照组和观察组,各45例。对照组采用传统腹腔镜下结直肠癌根治术治疗,观察组采用经脐单孔+1孔腹腔镜下结直肠癌根治术治疗。比较两组的治疗效果。结果 观察组的切口长度小于对照组,首次排气时间、住院时间短于对照组,差异具有统计学意义(P<0。05)。术后,观察组的P物质(SP)、缓激肽(BK)及前列腺素E2(PGE2)水平均低于对照组,差异具有统计学意义(P<0。05)。术后,观察组的血管活性肠肽(VIP)、胃泌素(GAS)及胃动素(MTL)水平均高于对照组(P<0。05)。两组的并发症总发生率无明显差异(P>0。05)。结论 经脐单孔+1孔腹腔镜下结直肠癌根治术可缩短结直肠癌患者的首次排气时间、住院时间,减轻疼痛应激反应,改善胃肠激素水平,且创伤小,值得推广。
Effects of transumbilical single-incision plus one-port laparoscopic redical resection of colorectal cancer on pain stress response and gastrointestinal hormone levels in colorectal cancer patients
Objective To investigate the effects of transumbilical single-incision plus one-port laparoscopic redical resection of colorectal cancer on pain stress response and gastrointestinal hormone levels in colorectal cancer patients.Methods A total of 90 patients with colorectal cancer admitted in our department from July 2020 to July 2022 were selected as the research objects and divided into control group and observation group by random number table method,with 45 cases in each group.The control group was treated with traditional laparoscopic radical resection of colorectal cancer,and the observation group was treated with transumbilical single-incision plus one-port laparoscopic redical resection of colorectal cancer.The therapeutic effects of the two groups were compared.Results The incision length of the observation group was smaller than that of the control group,and the first exhaust time and hospitalization time were shorter than those of the control group,and the differences were statistically significant(P<0.05).After operation,the levels of substance P(SP),bradykinin(BK)and prostaglandin E2(PGE2)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After operation,the levels of vasoactive intestinal peptide(VIP),gastrin(GAS)and motilin(MTL)in the observation group were higher than those in the control group(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion Transumbilical single-incision plus one-port laparoscopic redical resection of colorectal cancer can shorten the first exhaust time and hospitalization time of patients with colorectal cancer,reduce pain stress response,and improve gastrointestinal hormone levels,with less trauma,which is worthy of promotion.

transumbilical single-incision plus one-portlaparoscopicredical resection of colorectal cancerpain stress responsegastrointestinal hormone

惠锦情、刘朝丽

展开 >

陕西省康复医院外科,陕西 西安,710065

经脐单孔+1孔 腹腔镜 结直肠癌根治术 疼痛应激反应 胃肠激素

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(21)