腹腔鏡手術與經腹直腸癌根治術治療大腸癌的臨床療效

張佩

[摘要] 目的 分析研討腹腔鏡手術與經腹直腸癌根治術治療大腸癌的臨床療效。方法 從該院2014年6月—2018年6月期間收治的大腸癌患者中隨機抽取110例進行分析，用隨機數字法分組（對照組55例vs研究組55例），對照組接受經腹直腸癌根治術治療，研究組接受腹腔鏡手術治療，觀察比較治療療效。 結果 研究組治療總療效（96.36%）高于對照組（74.55%），組間數據有統計學意義（χ2=10.531 9，P=0.001 2）。研究組手術時間（132.41±15.21）min、術中出血量（60.12±16.25）mL、術后排氣時間（2.26±0.54）h、住院時間（7.16±2.54）d均低于對照組（157.25±17.12）min、（214.25±22.16）mL、（4.58±1.12）h、（16.75±3.85）d，組間數據差異有統計學意義（P<0.05）。比較免疫指標，術前，組間數據無統計學意義（P>0.05），術后研究組IgA（152.16±26.01）U/mL、IgM（173.25±22.53）U/mL、IgG（132.35±20.65）U/mL均高于對照組IgA（140.20±23.54）U/mL、IgM（147.56±23.11）U/mL、IgG（123.05±20.15）U/mL，組間數據差異有統計學意義（P<0.05）。結論 腹腔鏡手術治療大腸癌，與經腹直腸癌根治術比較，具有恢復速度快、出血量少、微創等優勢，可促進恢復，且機體受影響小，值得推廣。

[關鍵詞] 大腸癌;經腹直腸癌根治術;腹腔鏡手術

[中圖分類號] R735.3+4? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1674-0742（2019）04（a）-0044-03

[Abstract] Objective To analyze the clinical efficacy of laparoscopic surgery and transabdominal radical resection for colorectal cancer. Methods A total of 110 patients with colorectal cancer admitted to our hospital from June 2014 to June 2018 were randomly selected and analyzed by random number method （55 patients in the control group， 55 patients in the study group）. The control group received the transabdominal rectum and radical radical treatment， the study group received laparoscopic surgery， observation and comparison of treatment efficacy. Results The total curative effect of the study group （96.36%） was higher than that of the control group （74.55%）. There was statistical significance between the two groups （χ2 = 10.531 9， P=0.001 2）. The operation time （132.41±15.21） min， intraoperative bleeding volume （60.12±16.25） mL， post-operative exhaust time （2.26±0.54） h and hospitalization time （7.16±2.54） d in the study group were lower than those in the control group （157.25±17.12） min， （214.25±22.16） mL， （4.58±1.12） h， （16.75±3.85） d， with statistical significance （P<0.05）. Compared with the control group， the preoperative and intergroup data had no statistical significance （P>0.05）. The postoperative IgA （152.16±26.01） U/mL， IgM （173.25±22.53） U/mL， IgG （132.35±20.65） U/mL in the study group were higher than those in the control group （140.20±23.54） U/mL， IgM （147.56±23.11） U/mL， IgG （123.05±20.15） U/mL， and the intergroup data were unified. Academic significance （P<0.05）. Conclusion Laparoscopic surgery for colorectal cancer has the advantages of fast recovery， less bleeding and minimally invasive compared with radical operation for colorectal cancer. It can promote recovery and has little influence on the body. It is worth popularizing.