腹腔镜保肛全直肠系膜切除术治疗直肠癌的应用效果及优势探析(1)
【摘要】 目的：探讨直肠癌应用腹腔镜保肛全直肠系膜切除术的治疗效果。方法：将笔者所在医院2014年5月-2016年2月的56例直肠癌患者作为研究对象，以随机为基本原则，将其分为对照组与观察组，各28例。对照组予以开腹手术，观察组实施腹腔镜保肛全直肠系膜切除术。觀察两组操作时间、住院时间、术中失血、排气时间及肛门功能情况。结果：观察组操作时间长于对照组，但差异无统计学意义(P>0.05)；观察组术中失血量(39.16±6.22)ml，少于对照组，差异有统计学意义(P<0.05)；观察组住院时间为(9.11±1.03)d，排气时间为(2.07±0.62)d，均短于对照组，差异有统计学意义(P<0.05)；观察组肛门功能优良率为92.86%，明显高于对照组，差异有统计学意义(P<0.05)。结论：腹腔镜保肛全直肠系膜切除术应用于直肠癌中，可有效减少术中失血、住院时间、促进肛门排气，且有利于肛门功能恢复。
【关键词】 直肠癌； 腹腔镜； 保肛全直肠系膜切除术
doi：10.14033/j.cnki.cfmr.2017.26.008 文献标识码 B 文章编号 1674-6805(2017)26-0016-02
, 百拇医药
The Application Effect of Laparoscopic Rectal Total Mesorectal Excision for Rectal Cancer and the Advantage Analysis/LIU Wei-can，ZHOU Hai-chao，LI Zhao-hui.//Chinese and Foreign Medical Research，2017，15(26)：16-17
【Abstract】 Objective：To explore the application of laparoscopic rectal cancer and therapeutic effect of total mesorectal excision of anus.Method：56 patients with rectal cancer in our hospital from May 2014 to February 2016 were randomly divided into the control group and the observation group，28 cases in each group.The control group was given open surgery，observation group with laparoscopic rectal total mesorectal excision.The operation time，hospitalization time，intraoperative blood loss，exhaust time and anal function of the two groups were observed.Result：The operation time of the observation group was longer than that of the control group，but the difference had no statistic significant(P>0.05)；the quantity of blood loss in the observation group was (39.16±6.22)ml，which was less than that in the control group，the difference was statistically significant(P<0.05)；the hospitalization time in the observation group was (9.11±1.03)d，exhaust time was (2.07±0.62)d，which were shorter than those of the control group，the difference were statistically significant(P<0.05)；the anal function excellent rate of the observation group was 92.86%，which was significantly higher than that of the control group，the difference was statistically significant(P<0.05).Conclusion：Laparoscopic rectal total mesorectal excision in rectal cancer application，can effectively reduce the intraoperative blood loss and hospitalization time，promote the anus exhaust，and is conducive to the recovery of anal function.
【Key words】 Rectal cancer； Laparoscopy； Rectal total mesorectal excision
First-author’s address：Anxi County Hospital，Anxi 362400，China
直肠癌是一种恶性肿瘤，发病概率较高，其中大部分为低位直肠癌，临床多使用直肠癌根治术治疗，可完全切除病灶[1]，但对于肛门功能会产生一定影响，故保肛术逐渐受临床医师青睐，腹腔镜手术具有预后好、创伤小等优势，较传统手术而言可在一定程度上减少患者痛苦。本文旨在探讨腹腔镜保肛全直肠系膜切除术应用于直肠癌中的治疗效果。, http://www.100md.com(刘伟灿 周海潮 李朝晖)
【关键词】 直肠癌； 腹腔镜； 保肛全直肠系膜切除术
doi：10.14033/j.cnki.cfmr.2017.26.008 文献标识码 B 文章编号 1674-6805(2017)26-0016-02
, 百拇医药
The Application Effect of Laparoscopic Rectal Total Mesorectal Excision for Rectal Cancer and the Advantage Analysis/LIU Wei-can，ZHOU Hai-chao，LI Zhao-hui.//Chinese and Foreign Medical Research，2017，15(26)：16-17
【Abstract】 Objective：To explore the application of laparoscopic rectal cancer and therapeutic effect of total mesorectal excision of anus.Method：56 patients with rectal cancer in our hospital from May 2014 to February 2016 were randomly divided into the control group and the observation group，28 cases in each group.The control group was given open surgery，observation group with laparoscopic rectal total mesorectal excision.The operation time，hospitalization time，intraoperative blood loss，exhaust time and anal function of the two groups were observed.Result：The operation time of the observation group was longer than that of the control group，but the difference had no statistic significant(P>0.05)；the quantity of blood loss in the observation group was (39.16±6.22)ml，which was less than that in the control group，the difference was statistically significant(P<0.05)；the hospitalization time in the observation group was (9.11±1.03)d，exhaust time was (2.07±0.62)d，which were shorter than those of the control group，the difference were statistically significant(P<0.05)；the anal function excellent rate of the observation group was 92.86%，which was significantly higher than that of the control group，the difference was statistically significant(P<0.05).Conclusion：Laparoscopic rectal total mesorectal excision in rectal cancer application，can effectively reduce the intraoperative blood loss and hospitalization time，promote the anus exhaust，and is conducive to the recovery of anal function.
【Key words】 Rectal cancer； Laparoscopy； Rectal total mesorectal excision
First-author’s address：Anxi County Hospital，Anxi 362400，China
直肠癌是一种恶性肿瘤，发病概率较高，其中大部分为低位直肠癌，临床多使用直肠癌根治术治疗，可完全切除病灶[1]，但对于肛门功能会产生一定影响，故保肛术逐渐受临床医师青睐，腹腔镜手术具有预后好、创伤小等优势，较传统手术而言可在一定程度上减少患者痛苦。本文旨在探讨腹腔镜保肛全直肠系膜切除术应用于直肠癌中的治疗效果。, http://www.100md.com(刘伟灿 周海潮 李朝晖)