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目的:探讨完整结肠系膜切除术对老年结肠癌的治疗效果。方法:选取我院40例老年结肠癌患者为研究对象,将所有患者随机分成对照组和实验组,每组各有患者20例。给予对照组患者传统结肠癌根治术治疗,实验组患者行完整结肠系膜切除术。记录并比较分析两组患者的术中出血量、肛门排气所需时间、淋巴结清扫数量、住院时间、术后并发症及复发率。结果:实验组的肛门排气所需时间、住院时间和术后并发症发生率与对照组相比较,差异均无统计学意义(P>0.05);实验组的术中出血量少于对照组,淋巴结清扫数量多于对照组,差异均有统计学意义(P<0.05);实验组术后复发率低于对照组,差异有统计学意义(X~2=4.800,P<0.05)。结论:完整结肠系膜切除术可以减少患者术中出血量,清除更多淋巴结,减少复发率,治疗效果明显,值得临床上推广。
Objective: To investigate the effect of complete mesorectal excision on senile colon cancer. Methods: Forty elderly patients with colon cancer in our hospital were selected as the research object. All patients were randomly divided into control group and experimental group, each with 20 patients in each group. The patients in the control group were given conventional colon cancer radical mastectomy. The experimental group received complete mesorectal excision. Record and comparative analysis of two groups of patients with intraoperative blood loss, anus exhaust time required, the number of lymph node dissection, hospital stay, postoperative complications and recurrence rate. Results: There was no significant difference between the experimental group and the control group in the time required for anus exhaust, hospital stay and postoperative complication (P> 0.05). The intraoperative blood loss in the experimental group was less than that in the control group (P <0.05). The recurrence rate of the experimental group was lower than that of the control group, the difference was statistically significant (X ~ 2 = 4.800, P <0.05). Conclusion: Complete mesorectal excision can reduce the intraoperative blood loss, remove more lymph nodes and reduce the recurrence rate. The treatment effect is obvious and worthy of clinical promotion.