摘要
目的分析完整结肠系膜切除术(complete mesocolic excision,CME)治疗右半结肠癌的临床效果。方法选取2017年1月—2018年3月在本院治疗的79例右半结肠癌患者临床资料实施回顾性分析,以上对象按照手术方式分组,分为观察组(n=49)和对照组(n=30),患者分别行CME和腹腔镜结肠癌根治术进行治疗。观察并比较不同手术方式患者的各项手术治疗指标、并发症发生情况、复发率和死亡率。结果两组患者的手术指标比较,其中的手术时间比较差异无统计学意义(P> 0.05);但术中出血量、术后引流量、术后排气时间及总淋巴结清扫个数等指标,观察组患者均较对照组有明显优势,比较差异均有统计学意义(P <0.05);两组患者的术后恢复效果比较,其中术后并发症发生率、复发率和死亡率,观察组患者均较对照组有明显优势,组间比较差异均有统计学意义(P <0.05)。结论 CME治疗右半结肠癌,能够有效改善患者的手术治疗指标,并能够降低患者术后的并发症率、复发率和死亡发生率,可显著改善患者的预后效果。
Objective To analyze the clinical effect of complete mesocolic excision(CME)in the treatment of right colon cancer.Methods From January 2017 to March 2018,the clinical data of 79 patients with right colon cancer treated in our hospital were retrospectively analyzed.The above objects were divided into observation group(n=49)and control group(n=30)according to the operation mode,and they were treated with CME and laparoscopic radical resection of colon cancer respectively.The operation indexes,complications,recurrence rate and mortality of patients with different surgical methods were observed and compared.Results There was no significant difference in the operation time between the two groups(P>0.05);but the intraoperative blood loss,postoperative drainage volume,postoperative exhaust time and total number of lymph node dissection in the observation group were significantly better than those in the control group,and the differences were statistically significant(P<0.05).Compared with the control group,the patients in the observation group had obvious advantages over the control group in terms of postoperative recovery effect,postoperative complication rate,recurrence rate and mortality rate,and the differences between the two groups were statistically significant(P<0.05).Conclusion CME treatment of right colon cancer,can effectively improve the surgical treatment indicators of patients,and can reduce the postoperative complication rate,recurrence rate and mortality rate,can significantly improve the prognosis of patients.
作者
王洋强
WANG Yangqiang(Department of Gastrointestinal Surgery,Quanzhou First Hospital Affiliated to Fujian Medical University,Quanzhou Fujian 362000,China)
出处
《中国卫生标准管理》
2020年第23期91-94,共4页
China Health Standard Management
关键词
完整结肠系膜切除术
右半结肠癌
治疗效果
手术指标
并发症
复发率
死亡率
complete mesocolectomy
right colon cancer
therapeutic effect
surgical indicators
complications
recurrence rate
mortality
