腹腔镜手术与经腹直肠癌根治术治疗大肠癌的临床疗效

张佩

[摘要] 目的 分析研讨腹腔镜手术与经腹直肠癌根治术治疗大肠癌的临床疗效。方法 从该院2014年6月—2018年6月期间收治的大肠癌患者中随机抽取110例进行分析，用随机数字法分组（对照组55例vs研究组55例），对照组接受经腹直肠癌根治术治疗，研究组接受腹腔镜手术治疗，观察比较治疗疗效。 结果 研究组治疗总疗效（96.36%）高于对照组（74.55%），组间数据有统计学意义（χ2=10.531 9，P=0.001 2）。研究组手术時间（132.41±15.21）min、术中出血量（60.12±16.25）mL、术后排气时间（2.26±0.54）h、住院时间（7.16±2.54）d均低于对照组（157.25±17.12）min、（214.25±22.16）mL、（4.58±1.12）h、（16.75±3.85）d，组间数据差异有统计学意义（P<0.05）。比较免疫指标，术前，组间数据无统计学意义（P>0.05），术后研究组IgA（152.16±26.01）U/mL、IgM（173.25±22.53）U/mL、IgG（132.35±20.65）U/mL均高于对照组IgA（140.20±23.54）U/mL、IgM（147.56±23.11）U/mL、IgG（123.05±20.15）U/mL，组间数据差异有统计学意义（P<0.05）。结论 腹腔镜手术治疗大肠癌，与经腹直肠癌根治术比较，具有恢复速度快、出血量少、微创等优势，可促进恢复，且机体受影响小，值得推广。

[关键词] 大肠癌;经腹直肠癌根治术;腹腔镜手术

[中图分类号] R735.3+4          [文献标识码] A          [文章编号] 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.