首页|单孔腹腔镜手术用于结直肠癌治疗中的临床价值分析

单孔腹腔镜手术用于结直肠癌治疗中的临床价值分析

扫码查看
目的:探讨结直肠癌患者实施单孔腹腔镜手术治疗的临床疗效及预后效果分析.方法:选择2019年5月~2021年5月结直肠癌患者40例,参考系统抽样法分为对照组和观察组,各20例,观察组开展单孔腹腔镜手术,对照组实施多孔腹腔镜手术.比较两组手术相关指标、炎症因子指标、免疫功能指标、术后恢复指标.结果:观察组手术切口长度较对照组明显更短,手术用时更长(P<0.05),但两组术中出血量、淋巴结清扫数、清扫阳性淋巴结数比较无统计学差异(P>0.05).观察组较对照组术后1d、3d、5d的CRP、IL-6水平显著降低,CD3+T细胞、CD4+T细胞水平、胃动素与胃泌素水平更高(P<0.05).与对照组相比,观察组首次下床时间相对更短(P<0.05),首次排气及住院时间组间比较,无显著差异(P>0.05).结论:结直肠癌患者实施单孔腹腔镜手术治疗有效性及安全性高,可减轻患者疼痛、保护机体免疫功能,控制术后炎症反应,最大限度降低手术创伤及对患者造成的痛苦,实现理想的治疗效果.
Clinical Value Analysis of Single-Port Laparoscopic Surgery in the Treatment of Colorectal Cancer
Objective:To explore the clinical efficacy and prognostic analysis of single-port laparoscopic surgery for colorectal cancer patients.Methods:40 patients with colorectal cancer from May 2019 to May 2021 were selected and divided into a control group and an observation group using systematic sampling method,with 20 cases in each group.The observation group underwent single port laparoscopic surgery,while the control group underwent multi port laparoscopic surgery.Compare two groups of surgical related indicators,inflammatory factor indicators,immune function indicators,and postoperative recovery indicators.Results:The incision length was significantly shorter in the observation group than in the control group(P<0.05).However,there was no statistical difference in the amount of blood loss,the number of positive lymph nodes between the two groups(P>0.05).In the observation group,CRP and IL-6 were significantly lower at 1 day,3 days,and 5 days,and CD3+T cells,CD4+T cells,motin and gastrin were higher in the control group(P<0.05).Compared with the control group,the first implantation time in the observation group was relatively short(P<0.05),and there was no significant difference between the groups during the first exhaust time and hospitalization(P>0.05).Conclusion:The effectiveness and safety of single-port laparoscopic surgery in colorectal cancer patients,which can alleviate pain,protect the immune function of the body,control the postoperative inflammatory reaction,minimize the surgical trauma and the pain caused to the patient,and achieve the ideal treatment effect.

colorectal cancersingle-port laparoscopic surgeryclinical value

李益明、刘诗富、袁登东、陈揆龙

展开 >

永安市立医院(福建永安 366000)

结直肠癌 单孔腹腔镜手术 临床价值

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(4)
  • 15