完整结肠系膜切除在结肠癌手术治疗中的临床应用分析

Analysis of Clinical Application of Complete Mesocolic Excision in Colon Cancer Operation

目的探究完整结肠系膜切除在结肠癌手术治疗中的应用价值。方法方便选取该院2011年9月—2014年12月收治的结肠癌患者60例,根据其手术方式的不同分为两组,其中实验组给予完整结肠系膜切除术,对照组给予传统手术,对比两组结肠癌患者手术治疗结果的差异性。结果实验组手术用时、术中出血量、排气时间、与对照组相比,差异无统计学意义(P>0.05)。实验组总有效率(86.67%)明显高于对照组总有效率(66.67%)(P<0.05);两组结肠癌患者的并发症几率相比,差异无统计学意义(P>0.05);术后2年内,实验组疾病复发率(3.33%)明显低于对照组疾病复发率(20.00%)(P<0.05)。结论结肠癌患者接受完整结肠系膜切术治疗,可以促进患者不良症状以及胃肠功能的改善,降低其疾病复发率,从而促进结肠癌患者生活质量的改善,意义重大。

Objective To study the application value of complete mesocolic excision in colon cancer operation.Methods 60 cases of patients with colon cancer admitted and treated in our hospital from September 2011 to December2014 were convenient selected and divided into two groups, and the experimental group and the control group were respectively treated with complete mesocolic excision and traditional surgery, and the difference in the operation treatment result was compared between the two groups. Results The differences in the operation time, intraoperative bleeding amount,exhaust time between the experimental group and the control group were not statistically significant（P〉0.05）, and the total effective rate in the experimental group was obviously higher than that in the control group（86.67% vs 66.67%）（P〈0.05）, and the difference in the probability of complications between the two groups was not statistically significant（P〉0.05）, and the recurrence rate in the experimental group in two years after surgery was obviously lower than that in the control group（3.33% vs 20.00%）,（P〈0.05）. Conclusion The complete mesocolic excision in colon cancer operation can promote the improvement of adverse symptoms and gastrointestinal function, reduce the recurrence rate of diseases thus promoting the improvement of quality of life, and it is of great significance.