腹腔镜手术治疗中低位直肠癌对患者生活质量的影响

目的 探讨腹腔镜手术治疗中低位直肠癌对患者生活质量的影响.方法 108例中低位直肠癌患者按照数字表法随机分为两组,观察组54例,对照组54例,观察组采用腹腔镜手术,对照组采用传统开腹手术.随访6个月,评估患者的生活质量（QOL）.结果 在手术时间、术中出血量和住院时间等方面,观察组均少于对照组（均P＜0.01）;两组淋巴结清扫数差异无统计学意义（P＞0.05）.观察组保肛患者47例,保肛率87.0％;对照组保肛患者37例,保肛率68.5％;两组差异有统计学意义（x2 =4.92,P＜0.05）.两组手术后生活质量均比术前有所提高,并且观察组比对照组提高更明显（P＜0.05）.结论 腹腔镜手术治疗中低位直肠癌可以明显提高患者的生活质量.

Effect of laparoscopic surgery on the quality of life in patients with middle and low rectal cancer

Objective To study the effect of laparoscopic surgery on the quality of life in patients with mid- dle and low rectal cancer. Methods 108 cases with middle and low rectal cancer in accordance with the number table, were randomly divided into two groups. 54 patients in the observation group were operated through laparoscopic surgery and 54 patients in the control group received traditional open surgery. The patients were followed up for 6 months, the patients＂ quality of life were assesed. Results The operative time, blood loss and length of hospital stay in the observation group were less than the control group （ P 〈 0.01 ）. The lymph node dissection between the two groups had no significant difference（P 〉 O. 05 ）. 47 patients in the observation group were rectal sphincter preserva- tion, the rate was 87.0% ,37 patients in the control group with rectal sphincter preservation, the rate was 68.5%, the difference between the two groups was significant （X2 = 4.92, P 〈 0.05 ）. The patients＂ quality of life after surgery in two groups was increased than before surgery, and the observation group increased more significantly than the control group（P 〈 0.05 ）. Conclusion Laparoscopic surgery can significantly improve the quality of life in patients with middle and low rectal cancer.