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目的:探究完整结肠系膜切除术在结肠癌治疗中的应用效果和临床价值。方法:选取本院68例结肠癌患者,随机数字法分为对照组和观察组各34例,分别给予患者传统根治术与完整结肠系膜切除术治疗,观察对比两种不同手术方法的治疗效果和患者预后。结果:观察组患者术中出血量较对照组少(P<0.05),术后肛门排气时间、拔管时间和住院时间均较对照组短(P<0.05)。观察组患者淋巴结清扫数显著多于对照组(P<0.05)。观察组和对照组患者术后并发症发生率分别为5.9%和17.6%,两组患者术后并发症发生率比较,差异具有统计学意义(P<0.05)。同时经术后随访调查发现,观察组患者1年复发率(2.9%)低于对照组(14.7%),差异具有统计学意义(P<0.05)。结论:结肠癌采用完整结肠系膜切除术治疗,可有效减少患者术中出血量,缩短其肛门排气时间、拔管时间和住院时间,降低患者并发症发生率和1年复发率,患者术后恢复情况良好。
Objective: To explore the effect and clinical value of complete mesorectal excision in the treatment of colon cancer. Methods: A total of 68 patients with colon cancer from our hospital were randomly divided into control group and observation group, with 34 cases in each group. The patients were treated with conventional radical mastectomy and complete mesorectal excision respectively. The therapeutic effects of two different surgical methods were compared and analyzed. Patient’s prognosis. Results: The bleeding volume in the observation group was less than that in the control group (P <0.05). The anal exhaust time, extubation time and hospital stay were shorter than those in the control group (P <0.05). The observation group had significantly more lymph node dissection than the control group (P <0.05). The incidence of postoperative complications in the observation group and the control group were 5.9% and 17.6%, respectively. The incidence of postoperative complications in the two groups was statistically significant (P <0.05). At the same time, the follow-up survey found that the one-year recurrence rate (2.9%) in observation group was lower than that in control group (14.7%), the difference was statistically significant (P <0.05). Conclusion: The treatment of colon cancer with complete mesorectal excision can effectively reduce the intraoperative blood loss, shorten the time of anal exhaust, extubation time and hospital stay, reduce the incidence of complications and 1-year recurrence rate in patients with postoperative Recovery is good.