發(fā)布時間：2018-04-29 20:43

  本文選題：腹腔鏡 + 結腸癌�。� 參考：《青海大學》2017年碩士論文

【摘要】：目的:對比腹腔鏡CME手術與開腹CME手術治療結腸癌的療效。方法:分析青大附院腫瘤外科在2015年3月到2016年5月之間完成的腹腔鏡CME及開腹CME手術共47例,通過分析兩組的手術時間、術中出血量、術后離床時間、術后首次排氣時間、術后進流食時間、術后在院天數(shù)、總費用、清掃而獲得的淋巴結數(shù)目、病理標本腫瘤大小、遠,近切緣距離,術后并發(fā)癥發(fā)生率臨床指標而得出結論。結果:通過對比,兩組患者的一般資料如年齡,性別,體重指數(shù)(BMI),腫瘤所處位置及術前腫瘤的臨床分期未見明顯差異。腹腔鏡組與開腹組在手術失血量(79.3±8.3ml,123.9±10.1ml,P0.05),術后下床時間(21.7±6.6h,25.8±6.5h,P0.05),術后排氣時間(70.7±6.8h,80.2±6.1h,P0.05),術后住院天數(shù)(10.9±3.9d,14.5±3.3d,P0.05)方面的差異有統(tǒng)計學意義,而兩者在手術時間(176.9±16.8min,167.1±16.6min,P0.05),清掃淋巴結數(shù)目(18.5±4.5,19.9±4.1,P0.05)、近切緣距離(14.7±3.5,13.5±5.2cm,p0.05)、遠切緣距離(17.5±8.0,20.7±8.6cm,p0.05)、腫瘤大小(5.8±1.2,5.1±1.5cm,p0.05)、術后并發(fā)癥發(fā)生率(7.4%,20%,p0.05)、Clavien-Dindo分級為Ⅰ,Ⅱ級患者所占比例(7.4%,20%,p0.05)總費用(6.3±1.1萬元,6.2±1.6萬元,P0.05)方面的差異無統(tǒng)計學意義。結論:腹腔鏡CME手術具有出血量少,康復快的優(yōu)點,同時在安全性及腫瘤根治的方面能達到和開腹CME手術相當?shù)男Ч?br/>[Abstract]:Objective: to compare the efficacy of laparoscopic CME operation and open CME operation in the treatment of colon cancer. Methods: a total of 47 cases of laparoscopic CME and open CME were performed in tumor surgery of Qingda affiliated Hospital from March 2015 to May 2016. The time of operation, intraoperative bleeding, postoperative time out of bed and the time of first postoperative exhaust were analyzed in the two groups. The time of feeding, the days in hospital, the total cost, the number of lymph nodes obtained by dissection, the size, distance and distance of tumor, and the incidence of postoperative complications were analyzed. Results: there was no significant difference in general data such as age, sex, body mass index (BMI), tumor location and preoperative clinical stage between the two groups. There were significant differences in blood loss (79.3 鹵8.3 ml), postoperative time (21.7 鹵6.6 h), postoperative time (25.8 鹵6.5 h, P 0.05), postoperative exhaust time (70.7 鹵6.8 h, 80.2 鹵6.1 h, P 0.05), postoperative hospitalization days (10.9 鹵3.9dU, 14.5 鹵3.3dg, P 0.05) between the laparoscopic group and the laparotomy group, and there was significant difference between the laparoscopic group and the laparotomy group in terms of postoperative blood loss (79.3 鹵8.3ml), postoperative time of getting out of bed (21.7 鹵6.6hs, 25.8 鹵6.5hP0.05), postoperative days of hospitalization (10.9 鹵3.9dU, 14.5 鹵3.3dg). The operative time was 176.9 鹵16.8min, 167.1 鹵16.6 min, P0.05, the number of lymph nodes dissected, 14.7 鹵3.5cm. 13.5 鹵5.2cm, 17.5 鹵8.020.7 鹵8.6cmp0.05, and the size of tumor 5.8 鹵1.2cm. p0.05. the incidence of postoperative complications was 7.420p0.05p0.05. the incidence of postoperative complications was 7.420p0.05p0.05a, and the classification of Clavien-Dindo was 鈪，

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