论文部分内容阅读
目的探究并分析在治疗结肠癌患者时应用完整结肠系膜切除术(CME)的临床效果。方法 64结肠癌患者,随机将其分为观察组和对照组,各32例。观察组患者采用完整结肠系膜切除术治疗,对照组采用传统结肠癌根治术治疗。比较两组手术的效果、并发症及复发情况。结果观察组淋巴结清除个数多于对照组,首次排气时间、手术出血量均优于对照组,差异具统计学意义(P<0.05);两组手术时间比较差异无统计学意义(P>0.05)。观察组并发症发病率为6.25%、复发率为3.13%低于对照组的25.00%、18.75%,,差异具统计学意义(P<0.05)。结论在对结肠癌患者进行治疗时,应用完整结肠系膜切除术可有效清除淋巴结,在排气时间、出血量方面优势明显,且能有效降低并发症发病率及复发率。
Objective To explore and analyze the clinical effect of applying complete colorectal excision (CME) in the treatment of patients with colon cancer. Methods 64 patients with colon cancer were randomly divided into observation group and control group, 32 cases in each. Patients in the observation group were treated with complete mesorectal excision, while those in the control group were treated with conventional colon cancer radical operation. The effects, complications and recurrence of the two groups were compared. Results The number of lymph node dissection in the observation group was more than that in the control group, and the time of the first extubation and the amount of bleeding during operation were all better than those in the control group (P <0.05). There was no significant difference in operative time between the two groups (P> 0.05). The incidence of complications in the observation group was 6.25%, the recurrence rate was 3.13% lower than the control group 25.00%, 18.75%, the difference was statistically significant (P <0.05). Conclusion In the treatment of patients with colon cancer, the application of complete mesorectal excision can effectively remove the lymph nodes in the exhaust time, the amount of bleeding obvious advantages, and can effectively reduce the incidence of complications and recurrence rate.