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目的比较分析完整结肠系膜切除术和传统根治术两种术式治疗结肠癌的特点、效果及安全性。方法2013年1月至12月间确诊的结肠癌患者132例随机表法分组,研究组66例实施完整结肠系膜切除术,对照组66例行传统结肠癌根治术,比较两组治疗、复发及并发症发生情况。结果研究组患者术中出血量显著少于对照组,淋巴结清扫数量显著多于对照组,患者术后排气时间和排便时间均显著短于对照组,数据间比较差异有统计学意义(P<0.01);但两组的手术时间和远、近切端长度比较差异无统计学意义(P>0.05)。研究组患者并发症发生率和复发率显著低于对照组,1年生存率显著高于对照组,数据间比较差异具有统计学意义(P<0.05)。结论完整结肠系膜切除术较传统结肠癌根治术具有更好的近、远期治疗效果,且患者术后并发症少、复发率低,治疗安全性好。
Objective To compare and analyze the characteristics, effects and safety of two kinds of operation of complete mesorectal excision and traditional radical operation for colon cancer. Methods A total of 132 patients with colon cancer who were diagnosed from January to December 2013 were randomly divided into two groups. 66 patients in the study group underwent complete mesorectal excision, and 66 patients in the control group received conventional colon cancer radical resection. The treatment, relapse, Complications of the situation. Results The amount of bleeding during operation in study group was significantly less than that in control group, and the number of lymph node dissection was significantly more than that in control group. The postoperative exhaust time and defecation time were significantly shorter than those in control group, with significant difference between the two groups (P < 0.01). However, there was no significant difference between the two groups in the operation time and the length of distal and proximal incision (P> 0.05). The complication rate and recurrence rate were significantly lower in the study group than in the control group, and the 1-year survival rate was significantly higher in the study group than in the control group (P <0.05). Conclusion Complete mesorectal excision has better short-term and long-term therapeutic effects than traditional radical mastectomy, and has fewer postoperative complications, lower recurrence rate and better treatment safety.