折刀位腹腔镜Miles术与截石位腹腔镜Miles术治疗低位直肠癌效果比较
R735.37; 目的 比较折刀位腹腔镜Miles术与截石位腹腔镜Miles术治疗低位直肠癌的临床效果.方法 选取212例低位直肠癌患者,均采用腹腔镜Miles术治疗,其中101例行折刀位腹腔镜Miles术(折刀位组),111例行截石位腹腔镜Miles术(截石位组),比较两组的相关临床指标.结果 折刀位组、截石位组手术时间分别为(165.1±24.5)、(169.2±26.2) min,手术总出血量分别为(89.2±23.5)、(101.6±38.8) mL,腹部手术出血量分别为(35.7±9.6)、(34.6 ±6.5)mL,会阴部手术出血量分别为(53.5±11.2)、(67.0±16.7...
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| Published in | 山东医药 Vol. 58; no. 9; pp. 61 - 63 |
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| Main Authors | , , , , , |
| Format | Magazine Article |
| Language | Chinese |
| Published |
徐州医科大学附属医院,江苏徐州,221000
2018
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1002-266X |
| DOI | 10.3969/j.issn.1002-266X.2018.09.019 |
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| Abstract | R735.37; 目的 比较折刀位腹腔镜Miles术与截石位腹腔镜Miles术治疗低位直肠癌的临床效果.方法 选取212例低位直肠癌患者,均采用腹腔镜Miles术治疗,其中101例行折刀位腹腔镜Miles术(折刀位组),111例行截石位腹腔镜Miles术(截石位组),比较两组的相关临床指标.结果 折刀位组、截石位组手术时间分别为(165.1±24.5)、(169.2±26.2) min,手术总出血量分别为(89.2±23.5)、(101.6±38.8) mL,腹部手术出血量分别为(35.7±9.6)、(34.6 ±6.5)mL,会阴部手术出血量分别为(53.5±11.2)、(67.0±16.7) mL,淋巴结清扫数目分别为(16.3±3.2)、(15.5±4.1)个,两组手术总出血量、会阴部手术出血量比较,P均＜0.05.折刀位组、截石位组开始下床活动时间分别为(41.7±15.7)、(49.5±10.1)h,胃肠功能恢复时间分别为(68.5±10.7)、(72.6±18.6)h,开始流质饮食时间分别为(78.5±12.5)、(81.6± 17.3)h,引流管拔除时间分别为(7.32±1.55)、(9.45±1.83)d,术后住院时间分别为(11.5±3.59)、(14.0 ±4.26)d,两组开始下床活动时间、引流管拔除时间、术后住院时间比较,P均＜0.05.两组术后排尿困难、腹腔切口感染率比较,P均＜0.05.随访期内折刀位组、截石位组肿瘤复发率分别为5.0％、6.3％,病死率分别为2.0％、3.6％,两组比较,P均＞0.05.结论 折刀位腹腔镜Miles术治疗低位直肠癌效果较好,具有术中出血量少、术后恢复快、术后并发症发生率低等优点. |
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| AbstractList | R735.37; 目的 比较折刀位腹腔镜Miles术与截石位腹腔镜Miles术治疗低位直肠癌的临床效果.方法 选取212例低位直肠癌患者,均采用腹腔镜Miles术治疗,其中101例行折刀位腹腔镜Miles术(折刀位组),111例行截石位腹腔镜Miles术(截石位组),比较两组的相关临床指标.结果 折刀位组、截石位组手术时间分别为(165.1±24.5)、(169.2±26.2) min,手术总出血量分别为(89.2±23.5)、(101.6±38.8) mL,腹部手术出血量分别为(35.7±9.6)、(34.6 ±6.5)mL,会阴部手术出血量分别为(53.5±11.2)、(67.0±16.7) mL,淋巴结清扫数目分别为(16.3±3.2)、(15.5±4.1)个,两组手术总出血量、会阴部手术出血量比较,P均＜0.05.折刀位组、截石位组开始下床活动时间分别为(41.7±15.7)、(49.5±10.1)h,胃肠功能恢复时间分别为(68.5±10.7)、(72.6±18.6)h,开始流质饮食时间分别为(78.5±12.5)、(81.6± 17.3)h,引流管拔除时间分别为(7.32±1.55)、(9.45±1.83)d,术后住院时间分别为(11.5±3.59)、(14.0 ±4.26)d,两组开始下床活动时间、引流管拔除时间、术后住院时间比较,P均＜0.05.两组术后排尿困难、腹腔切口感染率比较,P均＜0.05.随访期内折刀位组、截石位组肿瘤复发率分别为5.0％、6.3％,病死率分别为2.0％、3.6％,两组比较,P均＞0.05.结论 折刀位腹腔镜Miles术治疗低位直肠癌效果较好,具有术中出血量少、术后恢复快、术后并发症发生率低等优点. |
| Author | 符炜 王凯 刘浩 付海啸 侍阳 蔡鹏 |
| AuthorAffiliation | 徐州医科大学附属医院,江苏徐州,221000 |
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