摘要
目的分析和评价改良右半结肠切除术治疗结肠癌的临床效果。方法方便选择该院于2012年6月—2016年6月间收治的109例结肠癌患者为研究对象。按入院顺序分A组和B组,分别是55例与54例。A组给予改良右半结肠切除术治疗,B组给予传统手术治疗。对比治疗相关指标、并发症情况、复发几率和临床疗效。结果 A组的术中出血量(83.35±15.32)m L、手术时间(61.42±12.33)min和住院时间(12.40±2.63)d均短于B组[(159.32±25.61)m L、(122.41±20.13)min、(17.25±3.51)d];淋巴结清除数量(6.58±2.44)个多于B组(3.27±1.25)个,对比差异有统计学意义(P<0.05)。A组的并发症发生率为3.64%,B组为14.81%;A组的复发率是1.82%,B组是11.11%,对比差异有统计学意义(P<0.05)。A组的治疗总有效率是98.18%,B组是85.19%,对比差异有统计学意义(P<0.05)。结论为结肠癌患者采取改良右半结肠切除术治疗可显著改善其相关指标,降低其复发几率和并发症发生率,值得推广。
Objective This paper tries to analyze and evaluate the clinical effect of modified right hemicocele in the treatment of colon cancer. Methods 109 cases of colon cancer in this hospital from June 2012 to June 2016 were convenient selected and divided into group A and group B according to their admission order. 55 cases of group A were treated with modified right hemicolectomy and 54 cases in group B were given conventional surgery. The treatment-related indicators, complications, recurrence and clinical efficacy of the two groups were compared. Results The volume of bleeding in group A was（83.35±15.32） m L, the operation time was（61.42±12.33） minutes and hospitalization time was（12.40±2.63） days, shorter than group B of（159.32±25.61） m L,（122.41±20.13） minutes,（17.25±3.51） days; the number of lymph node dissection of group A was（6.58 ±2.44）, more than that of group B of（3.27±1.25）, the differences were statistically significant（P0.05）.The complication rate was 3.64% in group A and 14.81% in group B. The recurrence rate in group A was 1.82% and that in group B was 11.11%. There were statistically significant differences between the two groups（P0.05）. The total effective rate was 98.18% in group A and 85.19% in group B. The difference was statistically significant（P0.05）. Conclusion Modified right hemicocele therapy can improve the relevant indexes and reduce the recurrence rate and complication rate in colorectal cancer patients, and it is worth popularization.
出处
《中外医疗》
2017年第22期72-73,76,共3页
China & Foreign Medical Treatment
关键词
改良右半结肠切除术
结肠癌
治疗相关指标
并发症
Modified right hemicocele
Colon cancer
Treatment-related indicators
Complications
