摘要
为观察腹腔镜手术治疗结直肠癌患者的疗效,将结直肠癌患者96例随机分为对照组和观察组,每组48例。对照组患者行开腹手术治疗,观察组患者行腹腔镜手术治疗,观察2组患者手术指标、手术前后血清指标和生活质量。结果显示,观察组患者手术时间、肛门排气时间和住院时间均短于对照组(P<0.05),术中出血量少于对照组(P<0.05);2组患者术前血清指标比较差异无统计学意义(P>0.05),术后观察组患者C反应蛋白、去甲肾上腺素和皮质醇水平均低于对照组(P<0.05);2组患者术前生活质量评分比较差异无统计学意义(P>0.05),术后观察组患者生活质量评分高于对照组(P<0.05)。结果表明,腹腔镜手术治疗结直肠癌患者可减少术中出血量,明显缩短手术时间、肛门排气时间和住院时间,减少应激反应,提高患者生活质量。
This study was to observe the effect of laparoscopic surgery for colorectal cancer,randomly divided 96patients with colorectal cancer into control group(48cases,adopted open surgery)and observation group(48cases,laparoscopic surgery);then,observed both groups'patients'operative norms,the serum indexes before and after surgery and quality of life.As results,in patients'preoperative serum indexes,and in patients'quality of life before surgery,there was no statistical difference between the two groups(P>0.05,all);but,after surgery in the time for operating,for flatus from anus,and for hospitalization;in the leves of CRP,of norepinephrine,and cortisol;in patients'quality of life,as well as in intraoperative bleeding volume,observation group was respectively shorter,lower,and higher,as well as less than control group(all,P<0.05).Results show that laparoscopic surgery for colorectal cancer has such merits as less bleeding volume;shorter operating time,time for flatus from anus,and hospitalization time;slighter stress response,and higher patients'quality of life.
作者
李建军
陈云山
郭玉申
LI Jian-jun;CHEN Yun-shan;GUO Yu-shen(Dept.of General Surgery,Nanshi County's Hospital,Nanyang,Henan 474000)
出处
《中国肛肠病杂志》
2021年第10期4-6,共3页
Chinese Journal of Coloproctology
关键词
结直肠癌
腹腔镜
手术
疗效观察
Colorectal cancer
Laparoscope
Surgery
Effect observation