| 龚玉勇,李宝,潘晓飞,等.经自然腔道取标本手术在老年结直肠癌 82例中的应用:一项回顾性队列研究[J].安徽医药,2022,26(10):1985-1989. |
| 经自然腔道取标本手术在老年结直肠癌 82例中的应用:一项回顾性队列研究 |
| Application of NOS in 82 elderly patients with colorectal cancer and follow-up of postoperative psychological status: a retrospective cohort study |
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| DOI：10.3969/j.issn.1009-6469.2022.10.018 |
| 中文关键词: 结直肠肿瘤 自然腔道内镜手术 心理状态 经自然腔道取标本手术 老年人 |
| 英文关键词: Colorectal neoplasms Natural orifice endoscopic surgery Psychological state Natural orifice specimen extraction surgery Aged |
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| 中文摘要: |
| 目的探讨经自然腔道标本取出( NOSES)在老年结直肠癌病人中的应用，并对术后病人心理状态进行随访。方法采用回顾性队列研究的方法，收集皖西卫生职业学院附属医院结直肠肛门外科 2017年 1月至 2019年 12月收治的 82例老年结直肠癌病人的病例资料，根据手术方式分为研究组和对照组，分析比较两组术后康复指标、无进展生存时间( PFS)及心理状态评分。结果研究组手术时间为( 139.59±24.43)min，长于对照组( 123.28±23.87)min，但术后首次排气时间、下床时间、住院时间分别为( 2.11±0.72)d、(2.82±1.10)d、(6.28±2.09)d，均短于对照组( 2.68±0.91)d、(3.54±1.32)d、(8.34±1.89)d，差异有统计学意义( P<0.05)。两组术后并发症发生率差异无统计学意义( P>0.05)。随访显示两组 PFS差异无统计学意义( P>0.05)研究组焦虑评定量表( SAS)和抑郁评定量表( SDS)评分低于对照组，差异有统计学意义( P<0.05)。结论 NOSES术用于老年结，直肠癌 |
| 英文摘要: |
| Objective To investigate the application of natural orifice specimen extraction (NOSES) in elderly patients with colorec.tal cancer, and to follow up the psychological status of patients after surgery.Methods A retrospective cohort study method was usedto collect the case data of 82 elderly patients with colorectal cancer who were admitted to the Department of Colorectal and Anal Sur.gery of the Affiliated Hospital of Wanxi Health Vocational College from January 2017 to December 2019. Patients were divided intostudy group and control group according to the surgical method. Postoperative rehabilitation indicators, progression-free survival (PFS) and psychological state scores were analyzed and compared between the two groups.Results The operation time of the study groupwas (139.59±24.43) min, which was longer than that of the control group (123.28±23.87) min, but the postoperative first exhaust time,time to get out of bed, and hospital stay were (2.11±0.72) d, (2.82±1.10) ) d and (6.28±2.09) d, which were shorter than those of the con.trol group (2.68±0.91) d, (3.54±1.32) d, and (8.34±1.89) d, and the differences were statistically significant (P<0.05). There was no sig. nificant difference in the incidence of postoperative complications between the two groups (P>0.05). The follow-up showed that there was no significant difference in PFS between the two groups (P>0.05). The Anxiety Rating Scale (SAS) and Depression Rating Scale(SDS) scores in the study group were lower than those in the control group, and the difference was statistically significant (P<0.05).Con. clusion NOSES operation in elderly patients with colorectal cancer can promote the early recovery of patients, achieve the same pur.pose of oncological radical cure as traditional laparoscopic surgery, and at the same time improve postoperative psychological distress. |
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