完整结肠系膜切除术与传统根治术治疗结肠癌的效果研究

Study on the effect of complete mesocolic excision and traditional radical surgery in the treatment of colon cancer

目的:研究完整肠系膜切除术与传统根治术治疗结肠癌的效果。方法:2011年1月-2014年1月收治结肠癌患者120例,随机分为对照组和观察组,各60例。对照组采用传统根治术进行治疗,观察组采用完整肠系膜切除术进行治疗,对比两组的治疗效果。结果:观察组的治疗总有效率96.67%,对照组的治疗总有效率86.67%,观察组的治疗总有效率明显高于对照组,差异具有统计学意义(P<0.05)。另外,两组患者并发症以及术后不良情况对比,观察组指标明显优于对照组,差异具有统计学意义(P<0.05)。结论:完整肠系膜切除术治疗结肠癌效果显著,切除术后并发症和不良反应发生率明显较低,因此完整肠系膜切除术值得临床应用和推广。

Objective:To explore the effect of complete mesocolic excision(CME) and traditional radical surgery in the treatment of colon cancer.Methods:120 patients with colon cancer were selected from January 2011 to January 2014.They were randomly divided into the control group and the observation group with 60 cases in each group.The control group was treated with traditional radical operation,and the observation group was treated with complete resection of mesentery.We compared the treatment effect of the two groups.Results:In the observation group,the total efficiency of treatment was 96.67%;in control group,the total efficiency of treatment was 86.67%;in the observation group,the total efficiency of treatment was significantly higher than that in the control group,the difference was statistically significant(P<0.05).In addition,we compared the postoperative complications and adverse circumstances of the two groups,the observation group was significantly better than the control group,the difference was statistically significant(P<0.05).Conclusion:Complete resection of mesentery colon cancer treatment effect was remarkable,after resection,the probability of occurrence of complications and adverse situation was relatively low,therefore,complete resection of mesentery was worthy of clinical application and promotion.