腹腔镜与开腹手术对直肠癌的治疗分析

摘要

Objective:To analyze the clinical efficacy of laparoscopic and open operation in patients with rectal cancer.Method:60 patients with rectal cancer were divided into the study group for 30 cases and the control group for 30 cases according to random number table method.The control group underwent open operation,the study group used laparoscopic operation.Compared the operation time,intraoperative bleeding volume,postoperative complications,anal exhaust time,hospitalization time and 2 years survival rate of two groups.Result:The study group operation time,bleeding volume and less postoperative complications,anal exhaust time earlier,a shorter hospital stay,the above indexes compared with control group differences were statistically significant(P<0.05),and 2 years survival rate with the control group,the difference was not significant(P>0.05).Conclusion:In the treatment of rectal cancer,laparoscopic operation has certain advantages in the near future,but no difference in the long-term effect and open operation, clinical should choose a suitable way according to the condition of patients in the use of specific.%目的：分析腹腔镜与开腹手术治疗直肠癌的临床疗效。方法：将60例直肠癌患者按随机数字表法分为研究组30例和对照组30例。对照组行开腹手术治疗，研究组经腹腔镜行手术治疗。对比两组的手术时间、术中出血量、术后并发症、肛门排气时间、住院时间以及2年生存率。结果：研究组手术时间较长，术中出血量及术后并发症较少，肛门排气时间较早，住院时间较短，上述指标与对照组比较差异均具有统计学意义（P<0.05）；而2年生存率则与对照组差异不明显（P>0.05）。结论：在直肠癌的治疗中，经腹腔镜操作在近期占有一定的优势，但远期效果与开腹手术无差异，临床在具体的运用中应根据患者的情况选择较合适的方式。