传统开腹与腹腔镜直肠癌根治术经腹膜外隧道乙状结肠造口的患者生活质量随访研究

摘要

目的 传统直肠癌造口并发症较多,影响患者生活质量；腹膜外造口可以减少造口处的并发症,利用腹腔镜进行会阴直肠切除术(Miles)术操作,讨论能否提高患者生活质量及临床疗效.方法 开腹式Miles术与腹腔镜下操作Miles术进行对比,分析近远期造口处并发症与患者生活质量情况.结果 腹腔镜下操作造口处近远期并发症低于开腹式,ADL评分2年DuckeS B、C期分别为(69.3±12.2)、(63.7±12.8),优于对照组的(59.3±13.3)、(51.4±13.1),差异具有显著性(P≤0.05).结论 腹腔镜操作Miles术造口处并发症明显低于开腹式,并能有效提高患者生活质量.%[Objective] Traditional colostomy has many complications,affects the patients'life quality,while it can be reduced by extraperitoneal stoma.We used laparoscope to do Miles surgery and discuss whether or not it can raise the patients life quality and clinical curative effect.[Methods] Laparotomy Miles with laparoscopic Miles operation were compared to analyze the short and long term stoma complications and life quality of patients.[Results]The short and long term complications with laparoscope stoma operation were less than laparotomy,ADL score 2years DuckeS B,C stage were (69.3±12.2),(63.7±12.8),better than control group (59.3±13.3),(51.4±13.1) (P ≤0.05).[Conclusion] Stone complications of laparoscopic Miles operation are significantly lower than open type,and the former can effectively improve the life quality of patients.