摘要
目的探讨微创外科技术在结直肠癌伴梗阻治疗中的临床应用价值。方法对于2010年3月至2014年3月收治我院的100例结直肠癌伴梗阻患者的临床资料进行回顾性分析。根据手术方式分成两组,其中55例患者行微创手术（支架植入技术与腹腔镜手术联合）,设为实验组;45例患者行传统开腹切除手术,设为对照组。术后进行随访,观察患者并发症发生情况及疾病转归,记录手术治疗前后患者Barthel指数量表评分,并进行对比研究。结果经过手术治疗后,两组患者Barthel指数评分都有一定程度的降低,但对照组降低程度比实验组降低程度高,差异具有统计学意义（P〈0.05）。其中实验组治疗后轻度依赖患者20例,显著高于对照组（8例）（χ^2=4.241,P〈0.05）;而对照组重度依赖患者明显高于实验组（χ^2=5.042,P〈0.05）,差异具有统计学意义。采用支架植入技术联合腹腔镜手术治疗后,实验组并发症发生率11.5%显著低于对照组并发症发生率27.3%,差异具有统计学意义（χ^2=4.699,P〈0.05）。实验组死亡率为7.7%,对照组死亡率9.1%,两组死亡率无明显差异（χ^2=0.061,P〉0.05）。结论结直肠癌伴梗阻微创技术能够降低患者的术后并发症发生率,增加手术安全性,值得临床推广应用。
Objective To investig ate the value of Minimally Invasive Surgical Techniques in Obstructed Colorectal Cancer.Methods A retrospective analysis of our hospital from March 2010 to March 2014 were treated 100 cases of colorectal cancer in patients with clinical data of obstruction. Divided into two groups according to the surgical approach, 55 patients underwent minimally invasive surgery（stenting technique and laparoscopic surgery combined） test group; 45 cases underwent traditional open surgery, as the control group. Postoperative follow-up,patients were observed occurrence of complications and disease outcome before and after surgery patient record Barthel Index Scale score, and comparative study.Results After surgery, patients were Barthel Index score has a certain degree of reduction, but lower than in the control group, the experimental group level to reduce the high level, the difference was statistically significant（p 〈0.05）. Wherein the treatment of mild dependence experimental group 20 patients was significantly higher（8 cases）（χ~2= 4.241, p〈0.05）; while the control group was significantly higher in patients with severe dependence experimental group（χ~2= 5.042, p 〈0.05）, the difference was statistically significant. After stent implantation technique using laparoscopic surgery, the experimental group, the complication rate of 11.5% was significantly lower than the control group, the complication rate of 27.3%, the difference was statistically significant（χ~2= 4.699, p 〈0.05）. Experimental mortality was 7.7% in the control group mortality rate of 9.1%, the two groups had no significant mortality difference（χ~2= 0.061, p 〉 0.05）.Conclusions Of colorectal cancer with obstruction of minimally invasive techniques can reduce the incidence of postoperative complications in patients with increased surgical safety, worthy of clinical application.
出处
《结直肠肛门外科》
2015年第5期347-350,共4页
Journal of Colorectal & Anal Surgery
关键词
微创外科技术
结直肠癌
梗阻
Minimally invasive surgical techniques
Colorectal cancer
Obstruction.
