腹腔镜下与开腹保肛根治术对超低位直肠癌治疗效果比较

发布时间：2018-03-22 22:11

本文选题：超低位直肠癌　切入点：保肛根治术　出处：《山东医药》2017年45期 　论文类型：期刊论文

【摘要】：目的比较腹腔镜辅助下与开腹保肛根治术对超低位直肠癌的治疗效果。方法超低位直肠癌患者133例,其中行开腹保肛根治术者62例(开腹组),腹腔镜辅助下实施保肛根治术者71例(腹腔镜组),对比两组手术情况、并发症以及肛管功能。结果与开腹组比较,腹腔镜组手术时间长、术中出血量少,术后肛门开始排气、开始饮食、住院时间短(P均0.05)。术后1年,两组肛肠压力均较术前下降,以腹腔镜组为著(P均0.05)。与开腹组比较,腹腔镜组优良率高,Wexner便秘评分低,术后总并发症率低(P均0.05)。两组局部复发率、远处转移率、病死率比较,P均0.05。结论腹腔镜下保肛根治术治疗超低位直肠癌,在临床效果方面和开腹保肛根治术相当,但术中创伤小、术后患者恢复快、并发症发生率低,且肛管功能优。
[Abstract]:Objective to compare the curative effect of laparoscopic assisted and open anal preserving radical resection for ultralow rectal cancer. Methods 133 cases of ultralow rectal cancer were treated. Among them, 62 cases (laparotomy group) and 71 cases (laparoscopically assisted radical anus preserving operation group) were treated with open anus preserving radical operation (Laparoscopic group), the operation condition, complications and anal canal function were compared between the two groups, the results were compared with that in the laparotomy group. In the laparoscopy group, the operation time was longer, the amount of bleeding was less during the operation, the anus began to exhaust after operation, the beginning of diet and the hospitalization time were 0.050.The pressure of the anus and intestine in the two groups was lower than that of the preoperation one year after operation, and the laparoscopy group was 0.050.Compared with the open group, the anus and intestine pressure of the two groups decreased. The excellent and good rate of laparoscopy group was high and the score of Wexner constipation was low, and the total postoperative complication rate was lower than 0.050.The local recurrence rate, distant metastasis rate and mortality rate of the two groups were 0.05.Conclusion Laparoscopic sphincter preserving radical resection is effective in the treatment of ultralow rectal cancer. The clinical effect was similar to that of radical operation, but the wound was small, the postoperative patients recovered quickly, the incidence of complications was low, and the anal canal function was excellent.
【作者单位】：南昌市中西医结合医院;
【分类号】：R735.37

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