论糖尿病患者结肠癌手术治疗临床分析

田维军

[摘要] 目的 探讨糖尿病患者结肠癌手术的方法和效果。方法 选取2015年6月—2017年6月该科收治的糖尿病合并结肠癌患者共64例，随机分为两组各32例，观察组给予腹腔镜手术，对照组给予开腹手术，比较两组手术情况。结果 两组手术时间比较差异无统计学意义（P>0.05）；观察组出血量（141.7±27.6）mL、排气时间（3.7±1.2）h、住院时间（8.2±1.7）d均明显少于对照组差异有统计学意义（P<0.05）；观察组并发症发生率为9.4%，明显优于对照组28.1%差异有统计学意义（P<0.05）。结论 腹腔镜手术具有手术创伤小，术后恢复快，并发症发生少等优点，值得在临床应用。

[关键词] 糖尿病；结肠癌；手术

[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2018）01（b）-0015-02

Clinical Analysis of Colon Cancer Surgery in Treatment of Diabetes Patients TIAN Wei-jun

Department of Emergency， Jilin Provincial Peoples Hospital， Changchun， Jilin Province， 130000 China

[Abstract] Objective To study the method and effect of colon cancer surgery in treatment of diabetes patients. Methods 64 cases of patients with diabetes combined with colon cancer surgery admitted and treated in our hospital from June 2015 to June 2017 were selected and randomly divided into two groups， with 32 cases in each， the observation group and the control group were respectively laparoscopic operation and laparotomy， and the operation situation was compared between the two groups. Results The difference in the operation time between the two groups was not statistically significant（P>0.05）， and the bleeding amount， exhaust time and length of stay in the observation group were respectively （141.7±27.6）mL，（3.7±1.2） h， （8.2±1.7） d， which were obviously lower than those in the control group the difference was statistically significant（P<0.05）， and the incidence rate of complications in the observation group was obviously better than that in the control group， （9.4% vs 28.1%）the difference was statistically significant（P<0.05）. Conclusion The operation wound of laparoscopic surgery is small with rapid postoperative recovery and few complications， which is worth clinical application.

[Key words] Diabetes； Colon cancer； Operation

糖尿病是临床常见的代谢性疾病。近年来，糖尿病因逐年增高和日益年轻化趋势，已成为严重影响我国人群健康的主要疾病，而糖尿病患者因长期高血糖引起体内代谢功能和水电解质紊乱，容易合并和并发各种疾病，且影响其治疗与康复。结肠癌是消化道常见的恶性肿瘤之一，据统计[1]，中国大肠癌发病率占全球24.3%，死亡率占全球22.9%，其中结肠癌发病率约13.0%。由于结肠癌的癌细胞可沿肠壁环形发展并向肠壁深处浸润，对患者的生命带来严重威胁。手术是治疗结肠癌的主要手段，随着医疗技术的提高，腹腔镜技术在外科手术中的应用越来越广泛[2]。为更好的寻找治疗结肠癌的方法，提高治疗效果，该文对2015年6月—2017年6月间该科收治的64例糖尿病合并结肠癌患者进行手术治疗，并分析手术效果，现报道如下。

1 资料与方法

1.1 一般资料

選取该科收治的糖尿病合并结肠癌患者共64例为观察对象，随机将患者分为两组各32例，观察组男20例，女12例，年龄33～71例，平均（55.1±1.3）岁，糖尿病病程3～14年，平均（5.2±0.9）年；结……