腹腔镜与开腹结直肠癌合并2型糖尿病患者术后炎症的对比分析

目的 对比腹腔镜与开腹对结直肠癌合并2型糖尿病患者术后炎症的影响.方法 回顾性分析结直肠癌合并2型糖尿病136患者的临床资料,其中腹腔镜手术57例,开腹手术79例.结果 腹腔镜组/开腹组术后炎症共计14/33例,其中肺部感染5/17例、泌尿系统感染3/2例、腹腔感染2/1例、急性呼吸窘迫综合征（acute respiratory distress syndrome,ARDS）1/2 例、切口感染2/11例、吻合口炎1/0例.腹腔镜组在肺部感染及切口感染方面与开腹组比较差异有统计学意义（P〈0.05）;而在泌尿系统感染、腹腔感染、ARDS、吻合口炎症方面比较差异无统计学意义（P＆gt;0.05）.结论 腹腔镜与开腹手术相比,整体上减少了结直肠癌合并2型糖尿病患者术后炎症相关并发症的发生率.

COMPARATIVE ANALYSIS OF POSTOPERATIVE INFLAMMATION BETWEEN LAPAROSCOPIC AND LAPAROTOMY SURGERY IN COLORECTAL CANCER PATIENTS WITH TYPE 2 DIABETES MELLITUS

Objective Comparison was made in the postoperative inflammation between laparoscopic and open colorectal cancer complicated with type 2 diabetes mellitus （T2DM） patients. Methods Retrospective analysis was made on the clinical data of colorectal cancer 136 patients with T2DM, including laparoscopic operation 57 cases, laparotomy operation 79 cases. Results The total number of postoperative inflammation in the laparoscopic group and laparotomy group was 14 vs 33 cases, in which 5 vs 17 cases of pulmonary infection, 3 vs 2 cases of urinary tract infection, 2 vs 1 cases of abdominal infection, 1 vs 2 cases of acute respiratory distress syndrome （ARDS） ,2 vs 11 cases of incision infection and 1 vs 0 case of anastomotie inflammation. The aspects of the pulmonary infection and incision infection in the laparoscopic group were lower than those of laparotomy group （ P 〈 0.05 ） ; There were no statistical difference among the abdominal infection, urinary, ARDS and anastomotic inflammation （P 〉 0. 05）. Conclusion Laparoscopy compared with laparotomy operation, reduced the incidence of complications related to inflammation in patients with colorectal cancer complicated with T2DM patients.