改良右半结肠切除术治疗结肠癌的临床疗效观察

目的:探讨改良右半结肠切除术对结肠癌的临床治疗效果。方法:对2005年1月～2010年6月收治的47例结肠癌患者随机分为改良组和传统组,改良组22例结肠癌患者采用改良右半结肠切除术,传统组25例结肠癌患者采用传统手术治疗,并对2组患者术后死亡率、吻合口狭窄率、盆腔感染率进行比较。结果:改良组1例患者死于肝内转移;传统组2例患者死于肝转移,2例患者死于腹腔内广泛转移。其余患者在随访期内均生存。改良组患者的死亡率和吻合口狭窄发病率与传统组相比差异无统计学意义(P>0.05)。两组患者的盆腔感染发病率差异有统计学意义(P<0.05),改良组未有患者发生盆腔感染。结论:采用改良右半结肠切除术治疗结肠癌患者,在手术无菌无瘤操作上更加完善,有利于降低复发率,提高患者的生存期。

Objective：To investigate the clini- cal effects of modified right hemicolectomy the clinical treatment of colon cancer. Methods：In our hospital from January 2005 to June 2010 there were 47 cases of colon cancer randomly divided into groups and traditional group improved. Improved group, 22 cases of colon cancer patients with modified right hemicolectomy. The traditional group of 25 cases of colon cancer patients treated with conventional surgery. The postoperative mortality, anastomotic stenosis and pelvic infection of 2 group were compared. Result： Improvement group 1 patient died of liver metastasis. Traditional group 2 patients died of liver metastasis. 2 patients died of extensive intra - abdominal metastasis. The remaining patients were living in the follow - up period. Patients improved mortality and the incidence of anastomotic stenosis compared with the traditional group was no significant difference （ P 〉 0. 05 ）. Two groups of patients the incidence of pelvic infection was significantly（ P 〈 0. 05 ）. Group of patients has not improved pelvic infection. Conclusion： Modified right hemicolectomy in the treatment of colon cancer patients, tumorfree in the sterile surgical operation is more perfect, help to reduce the recurrence rate and improve survival of patients