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目的探讨完整结肠系膜切除在结肠癌手术中的应用效果,总结些许医学经验,从而为临床提供借鉴意义。方法选取本院2011年9月~2013年3月这些年内收治的结肠癌患者90例,按照其入院顺序进行编号、抽取,奇数为对照组,偶数为观察组,各为45例。对照组采用传统结肠癌手术,观察组则采用完整结肠系膜切除手术。收集所有患者的临床资料,观察和比较两组患者的术后吻合口漏率、残端肿瘤残余率和复发率,以此作为效果判定的依据。结果观察组患者的术后吻合口漏率、残端肿瘤残余率和复发率分别为2.22%、2.22%、8.89%,对照组则为8.89%、11.1%和33.3%,明显高于观察组,差异具有统计学意义(P<0.05)。结论完整结肠系膜切除术可以最大程度地保护直肠,提高患者的存活率,降低了术后吻合口漏率,值得推广。
Objective To investigate the effect of complete mesorectal excision in colon cancer surgery and summarize some medical experience so as to provide reference for clinical practice. Methods Ninety patients with colon cancer who were treated in our hospital from September 2011 to March 2013 were selected and numbered according to their admission order. The patients in the control group were given odd numbers and the patients in the observation group were even patients in the observation group. The control group received conventional colon cancer surgery, while the observation group received complete mesorectal excision. The clinical data of all patients were collected. The anastomotic leakage rate, residual tumor rate and recurrence rate of the two groups were observed and compared. Results The postoperative anastomotic leakage rate, residual stump tumor recurrence rate and recurrence rate in the observation group were 2.22%, 2.22% and 8.89% respectively, while those in the control group were 8.89%, 11.1% and 33.3%, which were significantly higher than those in the observation group The difference was statistically significant (P <0.05). Conclusion Complete mesorectal excision can maximize the protection of the rectum, improve the survival rate of patients and reduce the rate of postoperative anastomotic leakage, which is worthy of popularization.