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目的探究完整结肠系膜切除在结肠癌手术治疗中的应用效果。方法选取2012年1月至2014年1月来我院就诊的90例结肠癌患者为研究对象,根据随机数字表法将其分为对照组和观察组。对照组给予常规开腹结肠癌根治术,观察组则给予完整结肠系膜切除术。记录并统计2组患者淋巴结清除总数、手术时间、术中出血量、术后排气时间、排便时间和住院时间,术后感染、吻合口瘘和肿瘤残余的发生率,并统计2组患者的2年复发率和生存率。结果观察组患者的淋巴结清扫总数明显多于对照组(P<0.05),出血量、排气时间和排便时间则明显低于对照组,差异有统计学意义(P<0.05),而2组手术时间差异无统计学意义(P>0.05)。对照组出现切口感染率、复发率、死亡率明显高于观察组,差异有统计学意义(P<0.05)。结论完整结肠系膜切除术在结肠癌治疗方面效果显著,可以最大程度的切除淋巴结数,对机体的损伤小,近期和远期效果良好。
Objective To investigate the effect of complete mesorectal excision in the surgical treatment of colon cancer. Methods Ninety patients with colon cancer from January 2012 to January 2014 in our hospital were selected as study subjects and divided into control group and observation group according to random number table method. The control group was given conventional open radical gastrectomy and the observation group was given complete mesorectal excision. The total number of lymph node dissection, operation time, intraoperative blood loss, postoperative exhaust time, defecation time and hospital stay, postoperative infection, anastomotic fistula and tumor residual rate were recorded and counted. The patients in two groups 2-year recurrence rate and survival rate. Results The total number of lymph node dissection in the observation group was significantly more than that in the control group (P <0.05), and the amount of bleeding, expiration time and defecation time were significantly lower than those in the control group (P <0.05) There was no significant difference in time (P> 0.05). Incision infection rate, recurrence rate and mortality in the control group were significantly higher than those in the observation group (P <0.05). Conclusion The complete mesorectal excision is effective in the treatment of colon cancer, which can remove the maximum number of lymph nodes, have less damage to the body, and have good short-term and long-term effects.