结肠镜联合腹腔镜在治疗结肠恶性肿瘤中的应用分析

目的：探讨结肠镜与腹腔镜联合在治疗结肠恶性肿瘤中的应用价值。方法：选择50例患者使用结肠镜与腹腔镜联合治疗，并与单独使用腹腔镜治疗的50例患者比较两组手术时间、术中出血、留置引流管时间以及总住院时间，同时统计两组发生的并发症情况。结果：观察组的术中出血量显著少于对照组（P〈0．05）；观察组术后留置引流管时间及总住院时间短于对照组（P〈0．05）；两组发生肠穿孔、伤口感染和术中出血的比例差异无统计学意义（P〉0．05）。结论：对于较小的肿瘤可以结肠镜为主，而较大的肿瘤则应以结肠镜治疗为辅，双镜联合治疗有效地提高了手术安全性和治疗效果。

The Treatment of Colonoscopy Combined with Laparoscopy in Malignant Tumor of Colon

Objective ： To investigate the treatment of colonoscopy combined with laparoseopy in malignant tumor of colon. Method ： 50 cases used colonoscopy combined with laparoscopy, and another 50 cases used only laparoscopic. To compare the two groups with operation time, intraoperative bleeding and indwelling drainage tube time, at the same time statistic of the two groups with occurred complications. Result ： In the observation group, the volume of intraoperative blood loss was less than that of control group（P〈0.05）. Observation group indwelling drainage tube time and total hospitalization time were shorter than that of control group（P〈0.05）. Two groups of bowel perforation, wound infection and bleeding during operation of the proportional difference did not have statistical significance（P〉0.05）. Conclusion ： Colonoseopy is good for smaller tumors, whereas larger tumors should be supplemented by colonoscopic therapy, colonoscopy combined with laparoscopy can effectively improve the operation safety and efficacy.