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目的:探讨结直肠癌高龄患者经腹腔镜实施结直肠癌根治术对胃肠功能产生的影响。方法:选取92例接受结直肠癌根治手术的结直肠癌患者,将其随机数字表法随机分为试验组和对照组两组,其中对照组患者均采用开腹手术进行治疗,而试验组患者则采取腹腔镜下结直肠癌根治手术。观察比较两组患者的术中情况和术后的胃肠功能。结果:两组患者之间的淋巴结清扫数目和标本切除长度均无明显差异(均P>0.05),试验组患者的术中出血量以及手术时间均低于对照组患者(t=10.394,P<0.05;t=6.983,P<0.05)。胃泌素和胃动素水平和患者术后的肛门排气时间以及腹胀持续时间呈显著的负相关关系;试验组患者的术后肛门排气时间和腹胀持续时间均低于对照组患者,并且其胃泌素和胃动素含量均明显高于对照组患者(均P<0.05)。结论:腹腔镜下结直肠癌根治手术较开腹手术具有创伤小的优势,并且对于高龄结直肠癌患者术后的胃肠功能具有较好的恢复效果。
Objective: To investigate the effects of laparoscopic radical resection of colorectal cancer on gastrointestinal function in elderly patients with colorectal cancer. Methods: A total of 92 patients with colorectal cancer who underwent radical surgery for colorectal cancer were selected and randomly divided into two groups: experimental group and control group, in which patients in the control group were treated by laparotomy. In the test group Take laparoscopic radical resection of colorectal surgery. Observation and comparison of the two groups of patients with postoperative gastrointestinal function. Results: There was no significant difference in the number of lymph node dissection and resection length between the two groups (all P> 0.05). The amount of bleeding and the operation time in the experimental group were all lower than those in the control group (t = 10.394, P < 0.05; t = 6.983, P <0.05). Gastrin and motilin levels were significantly and negatively correlated with postoperative anal exhaust time and duration of bloating. The postoperative anal exhaust time and abdominal distension duration were lower in patients in the test group than in the control group The levels of gastrin and motilin were significantly higher than those in the control group (all P <0.05). Conclusions: Laparoscopic radical resection of colorectal cancer has the advantage of less trauma than laparotomy, and has a good recovery effect on postoperative gastrointestinal function in elderly patients with colorectal cancer.