3D与2D腹腔镜直肠癌根治术近期疗效的随机对照研究

发布时间：2018-06-07 03:28

本文选题：直肠癌 + 腹腔镜　；参考：《昆明医科大学》2017年硕士论文

【摘要】：[目的]对比分析3D与2D腹腔镜在直肠癌根治术中的优势和近期临床疗效。[方法]收集2015年1月至2016年3月我科收治的100例直肠癌患者的临床资料,按照入院的前后顺序编为1-100号,再使用随机数字表给每位患者分配一个随机数,按照随机数大小由小到大对患者编号进行排序,排序号1-50为3D组,采用3D腹腔镜进行手术。51-100为2D组,采用2D腹腔镜进行手术。对比分析两组患者的术中、术后情况以及病理学标本评价。应用SPSS 22.0进行统计学分析,计量资料以x±s表示,计量资料采用t检验,计数资料采用x~2检验。[结果]两组患者基线资料无统计学意义,具有可比性。3D腹腔镜组比2D腹腔镜组的手术时间短[(91.8±26.1)min比(100.3±32.7)min,t=-1.439,P=0.038)]、术中出血量少[(222.4±73.0)比(302.0±92.4)ml,t=-4.780,P= 0.024)],在术后排气时间、术后住院时间、术后并发症(肺部感染、切口感染、吻合口瘘、肠梗阻、尿储留)、非计划二次手术、近期生存率(12月)、术后病理标本评价这些方面两组间比较无统计学意义(P0.05)。[结论]与2D腹腔镜相比,3D腹腔镜在直肠癌根治术中具有加快手术进程,减少术中出血量,提高术中操作精准度,减少无效操作的优点。近期临床疗效无明显差异。
[Abstract]:[objective] to compare and analyze the advantages and short-term clinical effects of 3 D and 2 D laparoscopy in radical resection of rectal cancer. [methods] the clinical data of 100 patients with rectal cancer admitted from January 2015 to March 2016 were collected. According to the order of admission, they were numbered 1-100, and each patient was assigned a random number by random number table. According to the size of random numbers, the patient numbers were sorted from small to large. The sequence numbers were 1-50 for 3D group, 51-100 for 2D group, and 2-D for laparoscopy. The intraoperative, postoperative and pathological evaluation of the patients in the two groups were compared and analyzed. The statistical analysis was carried out with SPSS 22.0. The metrological data were expressed as x 卤s, the measurement data were t test, and the counting data were x + 2 test. [results] there was no statistical significance in baseline data between the two groups. The operative time in the 3D laparoscopic group was shorter than that in the 2D laparoscopic group [91.8 卤32.7 26.1)min vs 100.3 卤32.7 mint-1.439m P0.038], and the amount of intraoperative bleeding was less [222.4 卤73.0 vs 302.0 卤92.4ml / t -4.780P = 0.024]. Postoperative complications (pulmonary infection, incision infection, anastomotic fistula, intestinal obstruction, urinary retention, unplanned secondary surgery, short term survival rate) were not statistically significant (P 0.05). [conclusion] compared with 2D laparoscopy, 3D laparoscopy has the advantages of speeding up the operation process, reducing the amount of blood loss, improving the accuracy of operation and reducing the invalid operation in the radical resection of rectal cancer. There was no significant difference in clinical efficacy in the near future.
【学位授予单位】：昆明医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R735.37

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