原创《腹腔镜全直肠系膜切除术治疗低位直肠癌56例》：该文是关于直肠癌论文范文，为你的论文写作提供相关论文资料参考。
[摘 要] 目的 分析腹腔镜全直肠系膜切除术治疗低位直肠癌的临床价值.方法 方便选取合肥市第二人民医院普外科2014年7月—2018年1月收治的106例低位直肠癌患者根据手术方式分为两组,对照组50例行开腹全直肠系膜切除术,观察组56例行腹腔镜全直肠系膜切除术,比较两组治疗情况.结果 观察组手术时间（166.82±15.95）min明显大于对照组的（145.38±12.74）min（t等于7.586,P等于0.000）,术中出血量、术后胃肠功能恢复时间、术后离床时间、术后住院时间、疼痛程度评分均明显少于对照组（P<0.05）；观察组系膜完整率83.93%明显高于对照组的66.00%（χ2=4.587,P=0.000）,术后镇痛率5.36%、并发症发生率3.57%明显低于对照组的26.00%、18.00%（P<0.05）.结论 腹腔镜全直肠系膜切除术治疗低位直肠癌创伤小,患者术后疼痛轻,康复快,可降低并发症发生风险.
[关键词] 低位直肠癌；腹腔镜全直肠系膜切除术；开腹手术
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2018）03（a）-0033-03
Laparoscopic Total Mesorectal Excision for the Treatment of Low Rectal Cancer in 56 Cases
LIU Zhi-ping, WANG Xiang, ZHANG You-qian, QIAN Xiao-xing
Department of General Surgery, Second People’s Hospital of Hefei, Hefei, Anhui Province, 230011 China
[Abstract] Objective This paper tries to analyze the clinical value of laparoscopic total mesorectal excision in the treatment of low rectal cancer. Methods 106 cases of patients with rectal cancer from July 2014 to January 2018 was convenient selected admitted to the Department of general surgery of second piople"s Hospital of Hefei, the patients were divided into two groups according to the surgery methods. Control group of 50 patients underwent open total mesorectal excision, the observation group of 56 patients underwent laparoscopic total mesorectal excision, the treatment of two groups were compared. Results The operation time of the observation group （166.82±15.95）min, significantly higher than the control group（145.38±12.74）min（t等于7.586, P等于0.000）, the amount of bleeding, postoperative gastrointestinal function recovery time, postoperative bed time, the hospitalization time, postoperative pain scores were significantly less than the control group（P<0.05）； observation group mesangial complete rate of 83.93% was significantly higher than the control group 66.00%（χ2=4.587, P=0.000）, postoperative analgesia rate of 5.36%, complication rate of 3.57% was significantly lower than the control group of 26.00%,18.00%（P<0.05）. Conclusion Laparoscopic total mesorectal excision is less invasive in the treatment of low rectal cancer. The patients have light postoperative pain and fast recovery, which can reduce the risk of complications.
[Key words] Low rectal cancer； Laparoscopic total mesorectal excision； Laparotomy
直肠癌为消化道常見恶性肿瘤,近年来调查发现我国直肠癌发病率有逐渐升高趋势,且发病人群日益年轻化[1].全直肠系膜切除术为直肠癌根治术金标准,可在最大程度上对盆腔部位神经核肛门予以保留,且可降低局部肿瘤复发风险,能有效延长患者生存时间[2].过去临床多采取开腹手术为直肠癌患者展开治疗,但创伤较大[3],患者术后承受剧烈痛苦,需镇痛处理.近年来微创外科技术的发展为此类患者的治疗提供了新的思路和方法,受到了广大患者和医师的普遍关注[4].为分析腹腔镜全直肠系膜切除术在低位直肠癌患者中的应用价值,该研究选取肥市第二人民医院普外科2014年7月—2018年1月收治的采取开腹、腹腔镜下行全直肠系膜切除术的106例患者,展开治疗情况比较,现报道如下.
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结论：腹腔镜全直肠系膜切除术治疗低位直肠癌56例为关于对写作直肠癌论文范文与课题研究的大学硕士、相关本科毕业论文肠癌晚期到死亡时间论文开题报告范文和相关文献综述及职称论文参考文献资料下载有帮助。
