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时间:2017-07-23
《腹腔镜与开腹横结肠癌根治术临床疗效对比 硕士论文》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、分类号:R753.37密级:UDC:610学校代码:11065硕士学位论文腹腔镜与开腹横结肠癌根治术临床疗效对比指导教师学科专业名称外科学(普外)论文提交日期2014.3.18论文答辩日期2014.5.21答辩委员会主席1腹腔镜与开腹横结肠癌根治术临床疗效对比中文摘要目的:对比研究腹腔镜辅助下横结肠癌根治术与开腹手术的临床疗效。方法:收集青岛大学医学院附属医院自2007年2月至2013年7月的行横结肠癌根治术的病例,筛选出59例分组进行统计学分析,其中腹腔镜辅助下横结肠癌根治术组(腹腔镜组)29例
2、,开腹手术组(开腹组)30例,对2组病人的手术时间、失血量、清扫淋巴结数、切口长度、肠道功能恢复时间、住院时间、术后并发症、生存率、局部复发率、远处转移率等指标进行对比研究,采用SPSS11.0软件进行统计学分析。结果:与开腹组相比,腹腔镜组病人失血量少、切口长度短、肠道功能恢复快、住院时间短、术后并发症少(P<0.05);2组病人在手术时间、清扫淋巴结数、住院费用、生存率、局部复发率、远处转移率等方面无统计学差异(P>0.05)。结论:腹腔镜辅助下横结肠癌根治术的临床疗效优于开腹手术,值得在临床
3、推广。硕士研究生:陆松华(普外)指导教师:张建立教授关键词:腹腔镜;横结肠癌;开腹手术1ComparativestudyontheclinicalcurativeeffectoflaparoscopicassistedradicalresectionoftransversecolonandopenoperationAbstractObjective:Tostudycomparativelytheclinicalcurativeeffectoflaparoscopicassistedradicalr
4、esectionoftransversecolonandopenoperation.Methods:59caseswereselectedforstatisticalanalysisfromthetransversecoloncancerradicalresectioncasescollectedinAffiliatedHospitalofQingdaoUniversityMedicalCollegefrom2007Februaryto2013July,dividedintolaparoscopi
5、cassistedradicalresectionoftransversecolongroup(laparoscopygroup,29cases)andopenoperationgroup(30cases).Indicatorsof2groupsincludingoperationtime,bloodloss,numberofexcisionallymphnodes,thelengthofincision,intestinalfunctionrecoverytime,hospitalization
6、time,postoperativecomplications,survivalrate,localrecurrencerate,distantmetastasisratewerestudiedcomparatively.StatisticalanalysiswasperformedusingSPSS11.0software.Results:Comparedwiththeopenoperationgroup,patientsinlaparoscopygrouphadlessbloodloss,sh
7、orterlengthofincision,lessintestinalfunctionrecoverytime,lesshospitalizationtime,lesspostoperativecomplications(P<0.05);therewerenostatisticaldifferencesbetween2groupsinoperation1time,numberofexcisionallymphnodes,hospitalizationexpenses,survivalrate,l
8、ocalrecurrencerate,distantmetastasisrate(P>0.05).Conclusion:Theclinicalcurativeeffectoflaparoscopicassistedradicalresectionoftransversecolonisbetterthanopenoperation,andlaparoscopicassistedradicalresectionoftransversecolonisworthintheclinicalp
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