摘要
目的探讨完整结肠系膜切除术与传统根治术治疗结肠癌的疗效。方法随机选取该院2009年1月—2014年3月收治的50例结肠癌患者,随机分为两组。对照组25例采用传统根治术,而试验组25例采用完整结肠系膜切除术。观察两组在手术住院、术后并发症及1年复发方面的差异。结果试验组患者淋巴结清扫数目、术中出血量、肛门排气时间及平均住院天数,比较差异有统计学意义(P<0.05);试验组患者并发症发生率为4.0%显著低于对照组24.0%,1年复发率为0.0%显著低于对照组16.0%,比较差异有统计学意义(P<0.05)。结论完整结肠系膜切除术较传统根治术治疗结肠癌效果效果显著,术中创伤小、恢复快、住院时间短,淋巴结清扫也更多,同时患者术后并发症少、复发率低,进而提高患者生活质量及生存质量,值得临床选择。
Objective To study the curative effect of complete mesocolic excision and traditional radical resection in the treatment of colon cancer. Methods 50 cases of colon cancer patients treated in our hospital from January 2009 to March 2014 were randomly divided into control group and experimental group with 25 cases in each. The control group were given traditional radical resection and the experimental group were given complete mesocolic excision, the differences of surgical hospitalization, postoperative complications and recurrence in 1 years of the two groups were observed. Results The number of lymph node dissection, Intraoperative blood loss, anal exhaust time and average hospitalization days between the two groups were statistically different（P〈0.05）;The incidence of complications was 4%in the experimental group, which was sig-nificantly less than 24.0% in the control group, the recurrence rate in 1 year was 0.0% in the experimental group, which was significantly less than 16.0% in the control group, and the comparison had statistical difference （P〈0.05）. Conclusion The curative effect of complete mesocolic excision in the treatment of colon cancer is more obvious than traditional radical resection, the trauma is small, the recovery is quick, the length of hospital stay is short and the lymph node dissection is more by complete mesocolic excision , at the same time , patients were with less complications and lower recurrence rate after operation, and it can improve the quality of life and survival quality of patients and is worthy of clinical choice.
出处
《中外医疗》
2015年第34期101-103,共3页
China & Foreign Medical Treatment
关键词
完整结肠系膜切除术
传统根治术
结肠癌
淋巴结清扫
复发率
Complete mesocolic excision
Traditional radical resection
Colon cancer
Lymph node dissection
Recurrence rate
