完整结肠系膜切除术与传统根治术治疗结肠癌的对比研究

Comparative study on complete membrane excision and traditional radical surgery in the treatment of colon cancer

目的：探讨完整结肠系膜切除术与传统根治术治疗结肠癌的临床疗效。方法选取2010年5月～2012年5月我院进行治疗的结肠癌患者137例，随机的分为研究组68例和对照组69例。观察术中的出血量、术后肛门排气时间，拔管时间，住院天数时间，术后开始进食时间；两组术后吻合口漏及残端肿瘤残余情况；及两组患者术中淋巴结切除情况。结果研究组术中的出血量、术后肛门排气、拔管、开始进食及住院时间皆优于对照组，两组比较，差异具有统计学意义（P＜0.05）。研究组患者吻合口漏1例，残端肿瘤残余2例，对照组分别为6例和8例，两组比较差异具有统计学意义（P＜0.05）。研究组患者的平均淋巴结数和阳性转移淋巴结数均多于对照组，两组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对结肠癌的治疗效果比较好，对人体的损伤小，并发症少，值得在临床上推广应用。

Objective To study the clinical efficacy of complete membrane excision and traditional radical surgery in the treatment of colon cancer. Methods 137 patients of colon cancer in our hospital from May 2010 to May 2012 were collected, who were randomly divided into 68 cases of the study group and 69 cases of the control group.The intraoperative blood loss,postoperative anal exhaust time, extubation time, length of stay, postoperative eating time, postoperative anastomotic leakage, postoperative remnants of stump tumors, and intraoperative lymph node resection of patients in the two groups were observed. Results The intraoperative blood loss,postoperative anal exhaust time,extubation time, postoperative eating time and length of stay of patients in the study group were better than those in the control group,the differences were statistically significant between the two groups（P 〈 0.05）.There was 1 case of anastomotic leakage,2 cases of remnants of stump tumors in the study group,while there were 6 cases of anastomotic leakage,8 cases of remnants of stump tumors in the control group,there were statistically significant differences between the two groups（P〈0.05）.The average number of lymph node and number of positive lymph node metastasis of patients in the study group were more than those in the control group,there were statistically significant differences between the two groups（P〈0.05）. Conclusion The complete membrane excision in the treatment of colon cancer has better clinical efficacy, less damage to human body,less complications, and is worthy of clinical application.