完整结肠系膜切除术与传统手术治疗结肠癌疗效对比观察

Effect Comparison on Observation Total Mesorectal Excision and Routine Operation for Colonic Carcinoma

为比较研究完整结肠系膜切除术与传统手术治疗结肠癌的临床效果,将结肠癌患者100例分为2组,各50例。观察组采用完整结肠系膜切除术治疗,对照组采用传统手术治疗,比较2组手术指标、并发症发生率及复发率等情况。结果显示,观察组患者在术中出血量、淋巴结清除个数、肛门排气时间、住院时间及并发症发生率、复发率、生存率方面均显著优于对照组,差异具有统计学意义(P<0.5)。结果表明,完整结肠系膜切除术治疗结肠癌临床效果更好,可将淋巴组织及其系膜最大程度切除,降低术后疾病复发率及并发症发生率,提高患者生存质量。

This study was to investigate and compare the effect of colonic carcinoma treated with total mesorectal excision（TME） and with routine operation, divided 100 cases into observation group（ n = 50, re ceived TME） and control one（ n = 50, adopted routine operation）, then compared both groups＇ operative norms, complication incidence and recurrence status.As results, in intraoperative bleeding volume, the number of lymphnode removed, the time for anus flatus, hospital stay, complication incidence, recurrence rate, and survival rate observation group was all superior to control one（ P 〈0.05）.Results show that compared with routine operation TME for colonic carcinoma has better clinical effect, can resect lymph tissue and its mesentery at maximum degree so reduce postoperative recurrence rate and complication incidence, therefore enhance patient＇s quality of life.