【摘要】 目的探究腹腔镜与开腹手术治疗结直肠癌的临床疗效。方法 113例结直肠癌患者,采取抛掷硬币法分为对照组(56例)与观察组(57例)。对照组采用开腹手术进行治疗,观察组应用腹腔镜手术进行治疗。对比两组术中指标(手术切口长度、术中出血量、手术时间)、术后指标(住院时间、排气时间、下床时间)及并发症发生情况。结果观察组手术切口长度(4.23±1.24)cm小于对照组的(16.45±4.23)cm,术中出血量(167.24±17.09)ml少于对照组的(220.76±20.87)ml,差异有统计学意义(P<0.05);两组手术时间对比差异无统计学意义(P>0.05)。观察组住院时间、排气时间、下床时间短于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率7.02%明显低于对照组的26.79%,差异有统计学意义(P<0.05)。结论针对结直肠癌患者,采用腹腔镜手术不仅有更好的临床疗效,同时也降低了并发症发生率,值得在临床上应用推广。更多还原

【Abstract】 Objective To investigate the clinical efficacy between laparoscopic and open surgery for colorectal cancer. Methods A total of 113 cases of colorectal cancer patients were divided into control group(56 cases) and observation group(57 cases) by tossing coins. The control group was treated with traditional open surgery, and the observation group was treated with laparoscopic surgery. The intraoperative indicators(length of surgical incision, intraoperative blood loss, operation time), postoperative indicators(hospitalization time, exhaust time, off-bed time), and complications were compared between the two groups. Results The length of surgical incision(4.23±1.24) cm in the observation group was less than(16.45±4.23) cm in the control group, and the intraoperative blood loss(167.24±17.09) ml was less than(220.76±20.87) ml in the control group. All the difference was statistically significant(P<0.05). There was no statistically significant difference in operation time between the two groups(P>0.05). The observation group had shorter hospitalization time, exhaust time and off-bed time than those of the control group, and the difference was statistically significant(P<0.05). The complication rate 7.02% in the observation group was significantly lower than 26.79% in the control group, and the difference was statistically significant(P<0.05). Conclusion Laparoscopic surgery has better clinical efficacy on patients with colorectal cancer, and it can reduce the complication rate, which is worthy of clinical promotion and application.更多还原