摘要
目的探讨老年直肠癌根治术中应用腹腔镜治疗的疗效。方法整群选取72例于2012年5月—2013年5月期间该院接收的老年直肠癌患者,随机分为对照组(开腹直肠癌根治手术,n=36)与实验组(腹腔镜直肠癌根治术,n=36),观察两组疗效。结果实验组术后组织渗出、住院时间、进食时间、VAS评分、切口长度、术中出血量均低于对照组(P<0.05);术后实验组切口感染率、粘连性肠梗阻率、切口疝率明显低于对照组(P<0.05);两组均随访2年,两组总生存率比较差异无统计学意义(P>0.05),而实验组较对照组保肛率显著要高(P<0.05)。结论腹腔镜直肠癌根治术具有微创特点,比较适用于身体素质较差的老年人,在根治效果上与开腹手术相近,具有推广价值。
Objective To investigate the effect of radical surgery for colorectal cancer in elderly laparoscopic treatment. Methods Group selection elderly patients with colorectal cancer in the period from May 2012 to May 2013 in our hospital received 72 patients were randomly divided into control group （open colorectal cancer radical surgery, n = 36） and experimental group （radical laparoscopic colorectal cancer surgery, n = 36）, were observed efficacy. Results The postoperative bleeding tissue, hospital stay, eating time, VAS score, length of incision, blood loss were lower than the control group （P 〈 0.05）; experimental group postoperative wound infection, intestinal obstruction rate, incisional hernia rate was significantly lower than the control group （P 〈0.05）; two groups were followed for 2 years, overall survival rate between the two groups no significant difference （ P〉 0.05）, while the experimental group than the control group sphincter preservation rate was signifi-cantly higher （P 〈0.05）. Conclusion The minimally invasive laparoscopic colorectal cancer resection have characteristics more suitable for the elderly poor physical fitness, the radical effect similar to open surgery, is worth promoting.
出处
《中外医疗》
2016年第28期60-62,共3页
China & Foreign Medical Treatment
关键词
疗效
直肠癌根治术
腹腔镜
Efficacy
Colorectal cancer resection
Laparoscopic
