对腹腔镜手术和开腹手术在直肠癌恶性肿瘤方面的治疗效果进行对比分析(1)
[摘要] 目的 对比分析腹腔镜手术与开腹手术在直肠癌恶性肿瘤治疗中的应用效果。方法 该次研究方便选取的76例直肠癌恶性肿瘤患者均为该院2017年10月—2019年10月收治的，根据入院单号、双号分为两组，每组38例，对照组与研究组分别开展开腹手术与腹腔镜手术，准确记录临床指标，并统计并发症发生率，评估疼痛评分(VAS)。结果 在清扫淋巴结数、住院时间、术中出血量、手术时间方面，研究组同对照组相比更优，差异有统计学意义(P<0.05);在转移淋巴结数、术后3 d引流量方面，两组对比差异无统计学意义(P>0.05);在并发症发生率方面，研究组(5.26%)相比于对照组(23.68%)更低，差异有统计学意义(χ2=5.208，P=0.022);研究组疼痛评分相比于对照组更低，差异有统计学意义(P<0.05)。结论 直肠癌恶性肿瘤疾病治疗过程中，腹腔镜手术治疗效果相比于开腹手术更优，其不仅可以减轻疼痛、缩减住院、手术时间，同时有助于并发症发生率降低，减少术中出血量等，值得推广、采纳。
[关键词] 恶性肿瘤;直肠癌;开腹手术;腹腔镜手术
[Abstract] Objective To compare and analyze the effect of laparoscopic surgery and open surgery in the treatment of rectal cancer malignant tumors. Methods 76 patients with rectal cancer malignancies received in this study were received in the hospital from October 2017 to October 2019. They were convenient scelection divided into two groups according to the admission number and double number， 38 cases in each group， and the control group and the study group respectively. Laparoscopic surgery and laparoscopic surgery were performed， clinical indicators were accurately recorded， the incidence of complications was counted， and the pain score (VAS) was evaluated. Results In terms of the number of dissected lymph nodes， length of hospital stays， intraoperative blood loss， and operation time， the research group was better than the control group， and the difference was statistically significant (P<0.05). In terms of flow， there was no significant difference between the two groups (P>0.05); in terms of the incidence of complications， the study group (5.26%) was lower than the control group (23.68%)， and the difference was statistically significant (χ2=5.208，P=0.022); The pain score of the study group was lower than that of the control group， and the difference was statistically significant (P<0.05). Conclusion During the treatment of rectal cancer malignant tumors， laparoscopic surgery is more effective than laparotomy， which can not only reduce pain， reduce hospitalization and operation time， but also help reduce the incidence of complications and reduce intraoperative amount of bleeding is worth promoting and adopting.
[Key words] Malignant tumor; Rectal cancer; Open surgery; Laparoscopic surgery
隨着人们生活水平、生活质量、饮食习惯的变化，再加之环境污染等因素影响，致使消化道肿瘤患病人数越来越多，并呈上升趋势[1]。直肠癌是临床常见的一种消化道恶性肿瘤，此类疾病包含齿线至直肠乙状结肠交界癌。大肠癌在我国直肠癌中占比达到70%。在医学技术飞速发展的背景下，直肠癌往往采取介入、化疗及放射等方式开展，其可以为临床治疗提供诸多方法，而且被广大医护患接受[2]。但是，现阶段，临床上主要采取根治性手术治疗。同传统开腹手术相比，腹腔镜手术优点包括住院时间短、创伤小、疼痛轻、肠道功能恢复速度快等，进而在临床中广泛应用[3]。但是，随着全直肠系膜切除理念在直肠癌治疗中被广泛应用。该次研究主要针对该院2017年10月—2019年10月接收的76例直肠癌患者采取开腹手术与腹腔镜手术治疗效果分析，报道如下。, 百拇医药(顾建龙)
[关键词] 恶性肿瘤;直肠癌;开腹手术;腹腔镜手术
[Abstract] Objective To compare and analyze the effect of laparoscopic surgery and open surgery in the treatment of rectal cancer malignant tumors. Methods 76 patients with rectal cancer malignancies received in this study were received in the hospital from October 2017 to October 2019. They were convenient scelection divided into two groups according to the admission number and double number， 38 cases in each group， and the control group and the study group respectively. Laparoscopic surgery and laparoscopic surgery were performed， clinical indicators were accurately recorded， the incidence of complications was counted， and the pain score (VAS) was evaluated. Results In terms of the number of dissected lymph nodes， length of hospital stays， intraoperative blood loss， and operation time， the research group was better than the control group， and the difference was statistically significant (P<0.05). In terms of flow， there was no significant difference between the two groups (P>0.05); in terms of the incidence of complications， the study group (5.26%) was lower than the control group (23.68%)， and the difference was statistically significant (χ2=5.208，P=0.022); The pain score of the study group was lower than that of the control group， and the difference was statistically significant (P<0.05). Conclusion During the treatment of rectal cancer malignant tumors， laparoscopic surgery is more effective than laparotomy， which can not only reduce pain， reduce hospitalization and operation time， but also help reduce the incidence of complications and reduce intraoperative amount of bleeding is worth promoting and adopting.
[Key words] Malignant tumor; Rectal cancer; Open surgery; Laparoscopic surgery
隨着人们生活水平、生活质量、饮食习惯的变化，再加之环境污染等因素影响，致使消化道肿瘤患病人数越来越多，并呈上升趋势[1]。直肠癌是临床常见的一种消化道恶性肿瘤，此类疾病包含齿线至直肠乙状结肠交界癌。大肠癌在我国直肠癌中占比达到70%。在医学技术飞速发展的背景下，直肠癌往往采取介入、化疗及放射等方式开展，其可以为临床治疗提供诸多方法，而且被广大医护患接受[2]。但是，现阶段，临床上主要采取根治性手术治疗。同传统开腹手术相比，腹腔镜手术优点包括住院时间短、创伤小、疼痛轻、肠道功能恢复速度快等，进而在临床中广泛应用[3]。但是，随着全直肠系膜切除理念在直肠癌治疗中被广泛应用。该次研究主要针对该院2017年10月—2019年10月接收的76例直肠癌患者采取开腹手术与腹腔镜手术治疗效果分析，报道如下。, 百拇医药(顾建龙)