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目的探讨分析腹腔镜结直肠癌根治术治疗老年结直肠癌患者对胃肠功能改善效果。方法 90例结直肠癌老年患者,根据手术方法不同分为观察组(47例)与对照组(43例)。对照组接受开腹手术治疗,观察组接受腹腔镜结直肠癌根治术治疗,比较两组患者术后胃肠功能改善情况。结果观察组患者术后腹胀持续时间为(3.2±0.5)d、肛门排气时间为(2.9±0.4)d,均明显短于对照组的(5.1±0.7)、(4.2±0.7)d,差异具有统计学意义(P<0.05)。观察组患者手术前后胃动素分别为(343.7±28.2)、(319.1±25.6)pg/ml,胃泌素分别为(149.5±17.4)、(134.6±16.5)pg/ml;对照组患者手术前后胃动素分别为(343.8±27.3)、(285.4±26.7)pg/ml,胃泌素分别为(150.6±18.2)、(114.7±16.9)pg/ml;两组患者接受手术治疗后,胃动素、胃泌素均明显下降,但观察组胃动素、胃泌素水平明显优于对照组,差异具有统计学意义(P<0.05)。结论腹腔镜结直肠癌根治术对老年结直肠癌患者临床治疗效果更好,对患者创伤小、术后各项功能恢复快,尤其是在改善患者肠胃功能方面,可缩短恢复时间,有效提高患者胃动素、胃泌素含量。
Objective To investigate the effect of laparoscopic radical resection of colorectal cancer on gastrointestinal function in elderly patients with colorectal cancer. Methods 90 elderly patients with colorectal cancer were divided into observation group (n = 47) and control group (n = 43) according to the different surgical methods. The control group received laparotomy, the observation group received laparoscopic radical resection of colorectal cancer, and the improvement of gastrointestinal function was compared between the two groups. Results The duration of postoperative abdominal distension in observation group was (3.2 ± 0.5) d, and the time of anal exhaust was (2.9 ± 0.4) days, which were significantly shorter than those in control group (5.1 ± 0.7) and (4.2 ± 0.7) days, respectively Statistically significant (P <0.05). The levels of motilin in the observation group before and after operation were (343.7 ± 28.2) and (319.1 ± 25.6) pg / ml respectively, with (149.5 ± 17.4) and (134.6 ± 16.5) pg / Motilin was (343.8 ± 27.3) and (285.4 ± 26.7) pg / ml, and gastrin was (150.6 ± 18.2) and (114.7 ± 16.9) pg / ml respectively. After operation, The levels of motilin and gastrin in the observation group were significantly higher than those in the control group, with statistical significance (P <0.05). Conclusions Laparoscopic colorectal cancer radical resection is more effective in the treatment of elderly patients with colorectal cancer. It has less trauma to the patients and quick recovery of postoperative functions, especially in improving the gastrointestinal function of patients, which can shorten the recovery time and effectively improve the patients Motilin, gastrin content.