摘要
目的观察完整结肠系膜切除对Ⅲ期结肠癌患者近期预后的影响。方法根据不同术式将79例Ⅲ期结肠癌患者分为2组,观察组41例行完整结肠系膜切除术治疗,对照组38例行常规根治术治疗,比较2组淋巴结清扫数目、术后情况、并发症发生率、复发率及生存率。结果观察组Ⅲ期、右半结肠淋巴结清扫数目多于对照组(P<0.05);2组左半结肠淋巴结清扫数目比较差异无统计学意义(P>0.05)。2组患者拔管时间、排气时间、进食时间、术后住院时间、住院费用及术后并发症发生率及生存率比较差异均无统计学意义(P>0.05);观察组复发率显著低于对照组(P<0.05)。结论完整结肠系膜切除术显著提高了Ⅲ期结肠癌淋巴结清扫数目,降低了术后复发率,且并未增加术后并发症发生率,值得临床重视。
Objective To observe the influence of complete excision mesocolon on term prognosis of patients with stage Ⅲ colon cancer. Methods 79 cases patients with Ⅲ colon cancer were divided into observation group( 41 cases) and control group( 38 cases) according to surgical approach. Observation group was treated by complete excision mesocolon,Control group was treated by conventional radical mastectomy. After treatment,compared the number of lymph node dissection,postoperative conditions,complication rate and recurrence rate and survival of two groups. Results The lymph node dissection number of colon cancer III and right colon of observation group was higher than that of control group,the difference was statistically significant( P < 0. 05). The lymph node dissection of left colon in two groups was no statistically significant( P > 0. 05). The extubation time,exhaust time,eating time,postoperative hospital stay,hospital costs,complication rate,survival rate of two groups was no statistically significant( P > 0. 05). The relapse rate of observation group was lower than that of control group,the difference was no statistically significant( P < 0. 05). Conclusion Complete resection of mesocolon can significantly increased the lymph node dissection of colon cancer Ⅲ stage,reducing the recurrence rate,no increased complication rate,worthy of attention.
出处
《临床合理用药杂志》
2016年第22期37-39,共3页
Chinese Journal of Clinical Rational Drug Use
关键词
Ⅲ期结肠癌
完整结肠系膜切除术
淋巴结清扫
预后
Colon cancer Ⅲ stage
Complete resection of mesocolon
Lymphadenectomy
Prognosis
