从循证医学角度评价腹腔镜结直肠癌手术的价值

张战胜，徐东为

（第四军医大学附属唐都医院，陕西 西安，710038）

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摘要：

目的 从循证医学角度评价腹腔镜结直肠癌手术的价值。方法 将我院收治的120例结直肠癌患者随机分为观察组与对照组，各60例。观察组患者实施腹腔镜治疗，对照组患者实施开腹手术治疗。比较两组患者的临床疗效、复发率及生存 率。结果 观察组的总有效率为96.7%，明显高于对照组的81.7%（P<0.05）。观察组患者的肠道排气时间、住院时间、术后第一 天吗啡用量明显优于对照组患者（P<0.05）。观察组的复发率为3.33%，略低于对照组的11.67%（P>0.05）。两组患者的生存率 比较，差异无统计学意义（P>0.05）。结论 从循证医学的角度来分析，应用腹腔镜治疗能使患者的治疗效果得到巩固，在短期内实现肠道正常排气，缩短患者住院时间，减少患者吗啡用量，对患者积极意义较大。

关键词：腹腔镜；结直肠癌；循证医学

中图分类号：R735.3文献标志码：A文章编号：2096-1413(2017)32-0072-02

Value evaluation of laparoscopic colorectal cancer surgery from evidence based medicine
ZHANG Zhan-sheng, XU Dong-wei
(Tangdu Hospital, the Affiliated Hospital of the Fourth Military Medical University, Xi``an 710038, China)

ABSTRACT: Objective To evaluate the value of laparoscopic colorectal cancer surgery from evidence based medicine. Methods A total of 120 colorectal cancer patients admitted in our hospital were selected and randomly divided into observation group and control group, with 60 cases in each group. The observation group received laparoscopic colorectal cancer surgery, and the control group accepted laparotomy. The clinical effects, recurrence rates and survival rates were compared between the two groups. Results The total effective rate of the observation group was 96.7%, which was higher than 81.7% of the control group (P<0.05). The intestinal exhaust time, hospital stays, morphine consumption at the first day after operation of the observation group were better than those of the control group (P<0.05). The recurrence rate of the observation group was 3.33%, which was slightly lower than 11.67% of the control group (P>0.05). There was no significant difference in survival rate between the two groups (P>0.05). Conclusion From evidence based medicine, the laparoscopic colorectal cancer surgery can consolidate the clinical effect, achieve normal intestinal exhaust in short term, shorten the length of hospital stays, reduce the morphine dosage, which has positive significance for the patients.
KEYWORDS: laparoscope; colorectal cancer; evidence based medicine

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