摘要
目的 分析对于老年结直肠癌并肠梗阻患者,采取腹腔镜下结直肠癌根治术的疗效.方法 回顾性分析2020年1月至2024年1月道真县人民医院收治的68例老年结直肠癌伴肠梗阻患者的临床资料,分为腹腔镜结直肠癌根治术组(观察组,n=34)和开腹结直肠癌根治术组(对照组,n=34).比较两组研究对象的临床疗效、术中指标、术后恢复情况及并发症发生情况.结果 观察组研究对象内32例有效(94.12％),高于对照组研究对象内的24例(70.59％)(P=0.011).观察组研究对象术中出血量(P＜0.001)、切口长度(P＜0.001)均显著低于对照组;观察组研究对照与对照组研究对象在手术时间(P=0.317)、平均淋巴结清扫个数(P=0.383)上无显著差异.观察组研究对象术后通气时间(P＜0.001)、术后进食时间(P＜0.001)、住院时间(P＜0.001)均显著低于对照组;观察组研究对照与对照组研究对象在尿管留置时间(P=0.389)、引流管留置时间(P=0.378)、保肛率(P=0.583)上无显著差异.观察组研究对象中4例出现并发症(11.76％),低于对照组研究对象的12例(35.29％,P=0.022).结论 对于老年结直肠癌并肠梗阻患者,腹腔镜下结直肠癌根治术不仅临床疗效显著,且能降低术中出血量,减少切口长度,缩短术后通气时间、进食时间及住院时间,降低并发症的发生率.
Abstract
Objective To analyze the efficacy of laparoscopic radical resection for colorectal cancer in el-derly patients with colorectal cancer complicated by intestinal obstruction.Methods A retrospective analysis was conducted on the clinical data of 68 elderly patients with colorectal cancer and intestinal obstruction who were treated at Daozhen County People's Hospital from January 2020 to January 2024.The patients were divided into a laparoscopic colorectal cancer radical resection group(observation group,n=34)and an open colorectal cancer radical resection group(control group,n=34).Clinical efficacy,intraoperative indicators,postoperative recovery,and the incidence of complications were compared between the two groups.Results In the observation group,32 cases were effective(94.12％),which was significantly higher than the 24 effective cases in the control group(70.59％)(P=0.011).The observation group had significantly lower intraoperative blood loss(P＜0.001)and shorter incision length(P＜0.001)compared to the control group.There were no significant differences between the obser-vation group and the control group in terms of operative time(P=0.317)and the average number of lymph nodes dissected(P=0.383).The observation group also had significantly shorter postoperative ventilation time(P＜0.001),time to first oral intake(P＜0.001),and hospital stay(P＜0.001)compared to the control group.There were no sig-nificant differences between the two groups in terms of urinary catheter retention time(P=0.389),drainage tube retention time(P=0.378),and sphincter preserva-tion rate(P=0.583).The incidence of complications in the observation group was 11.76％(4 cases),which was significantly lower than the 35.29％(12 cases)in the control group(P=0.022).Conclusion For elderly patients with colorectal cancer complicated by intestinal obstruction,laparoscopic radical resection of colorectal cancer not only provides significant clinical efficacy but also reduces intraoperative blood loss,shortens incision length,and decreases postoperative ventilation time,time to first oral intake,hospital stay,and the incidence of complications.
维普
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