摘要
目的对比完整结肠系膜切除术与传统根治术治疗结肠癌的短期预后。方法选择结肠癌患者71例,根据手术方法的不同分为实验组40例与对照组31例。对照组给予传统根治术治疗,实验组给予完整结肠系膜切除术治疗。记录2组的围手术指标、术后短期疗效、并发症与复发情况。结果2组术中出血量、手术时间对比,差异无统计学意义(P>0.05);实验组的术后排气时间少于对照组,术中清扫淋巴结数量多于对照组(P<0.05)。术后14 d实验组与对照组的总有效率分别为100.0%和87.1%,实验组显著高于对照组(P<0.05)。术后1个月实验组的吻合口瘘、切口感染、腹腔感染、残端肿瘤残余等并发症发生率为5.0%,显著低于对照组的29.0%(P<0.05)。实验组与对照组的术后6个月的复发率分别为2.5%和16.1%,2组差异有统计学意义(P<0.05)。结论相对于传统根治术,完整结肠系膜切除术治疗结肠癌能增加术中清扫淋巴结数量,促进患者康复,提高短期疗效,减少术后并发症的发生,降低复发率。
Objective To compare the short-term prognosis of of colon cancer treated by complete mesorectal excision and conventional radical mastectomy.Methods 71 patients with colon cancer who were selected and were divided into the 40 patients in the experimental group and 31 patients in the control group according to the different surgical methods.The control group were given traditional radical cure.In the treatment group,the experimental group were given complete mesorectal excision and the short-term prognosis of the 2 groups were recorded.Results There were no significant difference in the operation time and intraoperative blood loss compared between the 2 groups(P>0.05),the number of lymph nodes in the experimental group were higher than that of the control group,the postoperative exhaust time were less than that of the control group(P<0.05).The postoperative 14 d of total effective rate of the experimental group and the control group were 100.0%and 87.1%,respectively,and the experimental group were significantly higher than the control group(P<0.05).The postoperative 1 month of the complications of anastomotic leakage,wound infection,abdominal infection,residual tumor residual in the experimental group were 5.0%,which were significantly lower than that of the control group(29.0%)(P<0.05).The postoperative 6 months of recurrence rate of the experimental group and the control group were 2.5%and 16.1%,respectively,and the experimental group were lower than the control group(P<0.05).Conclusion Compared with traditional radical mastectomy,complete mesorectal excision for colon cancer can increase the number of lymph nodes during operation,promote rehabilitation,improve short-term efficacy,reduce postoperative complications,and reduce recurrence rate.
作者
何青红
刘栋
HE Qinghong;LIU Dong(The First Hospital of Weinan,Weinan,714000)
出处
《实用癌症杂志》
2019年第9期1519-1522,共4页
The Practical Journal of Cancer
关键词
完整结肠系膜切除术
结肠癌
短期预后
复发
并发症
Complete mesorectal excision
Colon cancer
Short-term prognosis
Recurrence
Complications
