冯刚

摘要：目的：讨论剖析肠癌病人各自选用开放手术治疗与腹腔镜治疗的远期功效。方法：将2015年1月-2020年1月在本院就医的45例肠癌病人依照双盲法分成观察组和对照组，将两组病人3年存活率、部分发作、远方迁移、无瘤存活时间及其总存活时间开展数据分析。结果：观察组病人3年存活率为86.67%，部分发作、远方转移率各自为0、6.67%，对照实验病人3年存活率为83.33%，部分发作及远方转移率各自为6.67%、13.33%，2组存活率对照差别无统计学意义（P>0.05），迁移和发作状况对照差别均有统计学意义（P<0.05）。观察组病人无瘤存活时间（23.3±4.9）个月、总存活时间（33.3±7.2）个月，和对照实验（24.9±4.9）个月、（34.5±6.5）个月对照，差别均无统计学意义（P>0.05）。结论：针对肠癌病人来讲，腹腔镜和开放手术治疗的远期功效相当，并且腹腔镜对病人的创伤更小，手术恢复较快，非常值得普遍推广。

关键词：开放式手术治疗;腹腔镜;肠癌

【Abstract】Objective： To discuss and analyze the long-term effects of open surgery and laparoscopic treatment for patients with bowel cancer. Methods： The 45 patients with bowel cancer who were treated in our hospital from January 2015 to January 2020 were divided into observation group and control group according to the double-blind method. The two groups were divided into three-year survival rate， partial onset， distant migration， and no tumor Data analysis of survival time and total survival time. Results： The 3-year survival rate of patients in the observation group was 86.67%， the rates of partial seizure and distant metastasis were 0 and 6.67%， respectively. The 3-year survival rate of control patients was 83.33%， and the rates of partial seizure and distant metastasis were 6.67% and 13.33%， respectively. There was no statistically significant difference in survival rates between the two groups （P>0.05）， and the differences in migration and seizure status were statistically significant （P<0.05）. The tumor-free survival time of patients in the observation group was （23.3±4.9） months and the total survival time was （33.3±7.2） months， compared with the control experiment （24.9±4.9） months and （34.5±6.5） months. There was no statistical difference. Academic significance （P>0.05）. Conclusion： For patients with bowel cancer， laparoscopy and open surgery have similar long-term effects， and laparoscopy has less trauma to patients and faster recovery from surgery， which is very worthy of popularization.

[Keywords] open surgical treatment; laparoscopy; bowel cancer

【中图分类号】R735.3+7             【文献标识码】A             【文章编号】2107-2306（2021）07-040-01

肠癌是临床医学比较普遍的一种消化系统恶性肿瘤病症，和环境要素、基因遗传要素等相关，病人具体表现为浮肿、腹部包块、消化不好、腹疼、腹胀、困乏、低烧、肠梗阻、大便困难等病症，比较严重危害病人的正常生活，减少病人的生活质量【1-2】。

1 資料与方法

1.1 一般资料

选择2015年1月-2020年1月在本院就医的45例肠癌病人为研究对象，将45例病人依照双盲法任意分成观察组（15例）和对照组（30例），观察组里男5例，女10例;年纪最少33岁，较大73岁，均值（51.7±2.5）岁;对照组中男17例，女13例;年纪最少32岁，较大74岁，均值（51.3±2.2）岁;两组病人性別、年纪、等一般资料层面对比差别均无统计学意义（P>0.05），具备对比性。……