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目的分析直肠癌合并2型糖尿病患者行腹腔镜手术的临床疗效。方法回顾性分析2011年4月~2014年3月本院诊治的80例直肠癌合并2型糖尿病患者的临床资料,按照不同治疗方式分为两组,对照组40例患者给予传统开腹手术,研究组40例患者给予腹腔镜手术,观察并比较两组患者治疗相关有效性指标、血糖及胰岛素用量情况、并发症总发生率。结果研究组患者相关有效性指标均优于对照组,均具统计学意义(P<0.05);同时血糖及胰岛素用量情况优于对照组,具统计学意义(P<0.05);研究组并发症总发生率7.50%(3/40)低于对照组32.50%(13/40),具统计学意义(P<0.05)。结论直肠癌合并2型糖尿病患者行腹腔镜手术的疗效显著,且无严重并发症。
Objective To analyze the clinical effect of laparoscopic surgery in patients with rectal cancer and type 2 diabetes mellitus. Methods The clinical data of 80 patients with rectal cancer complicated with type 2 diabetes mellitus diagnosed and treated in our hospital from April 2011 to March 2014 were retrospectively analyzed. According to different treatment methods, the patients were divided into two groups, 40 patients in the control group were given conventional laparotomy, Forty patients in the study group were given laparoscopic surgery. The efficacy-related indicators of treatment, blood glucose and insulin dosage, and the overall incidence of complications were observed and compared between the two groups. Results The effectiveness index of the study group was better than that of the control group (P <0.05), while the blood glucose and insulin dosage were better than the control group (P <0.05). The study group complication The overall incidence of 7.50% (3/40) was lower than the control group 32.50% (13/40), with statistical significance (P <0.05). Conclusion The effect of laparoscopy in patients with rectal cancer and type 2 diabetes mellitus is significant and without serious complications.