结肠癌患者采用改良右半结肠切除术治疗的临床分析

Clinical Analysis of Patients with Colon Cancer Treated with Modified Right Hemicolectomy

目的分析结肠癌患者应用改良右半结肠切除术,对其应用效果进行评价。方法该次研究中的观察主体均随机抽选2018年1月—2019年12月时间段在该院接受诊治的结肠癌患者,例数为56例,根据奇偶数分组分为常规组与改良组,每组28例,常规组应用传统方式对患者进行手术,改良组应用改良右半结肠切除术方式对患者进行操作,对两组患者临床指标以及并发症发生率进行对比。结果改良组患者手术出血量、手术时间以及淋巴结清扫数量方面的数据分别为(76.01±8.23)mL、(70.12±4.54)min、(3.13±1.09)个,其数据均优于常规组,差异有统计学意义(t=29.767,P<0.001;t=23.869,P<0.001;t=6.740,P<0.001),且改良组患者感染、出血和脏器受损方面的并发症发生率为3.6%,其数据明显低于常规组(28.5%),差异有统计学意义(χ^(2)=4.766,P=0.029)。结论应用改良右半结肠切除术方式对结肠癌患者进行治疗,能够缩短手术治疗的时间,减少患者术中出血量,降低患者术后并发症的发生率,对于患者预后与提升治疗效果具有积极意义。

Objective To analyze the application of modified right hemicolectomy in patients with colon cancer and evaluate the effect of its application.Methods The subjects of observation in this study were randomly selected from January 2018 to December 2019 in patients with colon cancer who were diagnosed and treated in the hospital.The number was 56 cases.The subjects were divided into the conventional group and the modified group according to the odd and even number grouping method.There were 28 patients in each group.The conventional group uses traditional methods to perform operations on patients,and the modified group used modified right hemicolectomy to perform operations on patients.The clinical indicators and complications incidence of disease of the two groups were compared.Results The data of surgical bleeding,surgical time and lymph node dissection were(76.01±8.23)mL,(70.12±4.54)min,and(3.13±1.09)of patients in the modified group,which were better than those of the conventional group,the difference was statistically significant(t=29.767,P<0.001;t=23.869,P<0.001;t=6.740,P<0.001),and the incidence of complications in infection,bleeding and organ damage in the modified group was 3.6%,the data was significantly lower than the routine group(28.5%),the difference was statistically significant(χ^(2)=4.766,P=0.029).Conclusion The application of modified right hemicolectomy for the treatment of colon cancer patients can shorten the time of surgical treatment,reduce the amount of blood loss during the operation,and reduce the incidence of postoperative complications.It is positive for the prognosis of patients and the improvement of the treatment effect.