| 黄文伟,曾国祥.传统结肠癌根治术与完整结肠系膜切除术对老年结肠癌近期疗效的对比观察[J].安徽医药,2018,22(8):1503-1506. |
| 传统结肠癌根治术与完整结肠系膜切除术对老年结肠癌近期疗效的对比观察 |
| Comparative study of short term curative effect between traditional colon cancer radical operation and complete mesocolic excision in the treatment of elderly patients with colon cancer |
| 投稿时间：2016-12-14 |
| DOI： |
| 中文关键词: 传统结肠癌根治术 完整结肠系膜切除术 结肠癌 近期疗效 |
| 英文关键词: Traditional colon cancer radical operation Complete mesocolic excision Colon cancer Short term effects |
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| 摘要点击次数: 2060 |
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| 中文摘要: |
| 目的 比较传统结肠癌根治术与完整结肠系膜切除术治疗老年结肠癌的近期疗效。方法 选取2012年12月至2015年11月接受手术治疗的82例老年结肠癌患者为研究对象,根据手术方式的不同将患者分为观察组(43例)和对照组(39例),观察组患者接受完整结肠系膜切除术,对照组患者接受传统结肠癌根治术,记录两组患者的围术期指标及术后并发症。对两组患者随访1年,比较两组患者的复发率与生存率。结果 观察组患者的术中出血量(106.5±12.4) mL明显少于对照组(139.7±13.2) mL,且术后排气时间(2.8±0.7) d、术后排便时间(4.7±1.2) d及住院时间(9.1±1.7) d均明显短于对照组[分别为(3.9±1.1) d、(5.4±1.5) d、(14.6±2.2) d)],均差异有统计学意义(P<0.05)。观察组患者平均淋巴结清扫数量(20.9±2.6)个明显多于对照组(16.5±2.7)个,差异有统计学意义(P<0.05)。观察组患者术后并发症发生率(9.30%)低于对照组(17.95%)(P<0.05)。观察组患者术后1年生存率(97.67%)高于对照组(92.31%),而复发率(4.65%)低于对照组(10.26%),均差异无统计学意义(P>0.05)。结论 完整结肠系膜切除术治疗老年结肠癌的近期疗效确切,有利于改善患者预后值得临床推广应用。 |
| 英文摘要: |
| Objective To compare the short term curative effect between traditional colon cancer radical operation and complete mesocolic excision in the treatment of elderly patients with colon cancer.Methods A total of 82 cases of elderly patients with colon cancer undergoing surgical treatment in our hospital from Dec. 2012 to Nov. 2015 were selected and were divided into experimental group (43 cases) and control group (39 cases) according to the surgical treatment mode. The patients in the experimental group were treated with complete mesocolic excision, and the patients in control group were given traditional colon cancer radical operation. The perioperative indexes and postoperative complications of two groups were recorded. The two groups of patients were followed up for one year. The recurrence rate and survival rate between two groups were compared.Results The intraoperative blood loss in patients of experimental group (106.5±12.4) mL was significantly less than that in patients of control group (139.7±13.2) mL, and postoperative exhaust time (2.8±0.7) d, postoperative defecation time (4.7±1.2) d together with hospitalization length (9.1 ± 1.7) d in patients of experimental group were significantly shorter than those in patients of control group[(3.9±1.1) d, (5.4±1.5) d, (14.6±2.2) d respectively] with all difference being statistically significant (P<0.05). The average number of lymph node dissection in patients of experimental group (20.9±2.6) was significantly raised than that of control group (16.5±2.7) and difference was statistical significance (P<0.05). The postoperative complication rate in experimental group ( 9.30 %) was significantly lower than that in the control group (17.95 %) (P< 0.05). The survival rate of patients in the experimental group after one year was 97.67%, which was higher than that of the control group (92.31%), and the recurrence rate in the experimental group was 4.65%, lower than that of the control group (10.26%). Both of difference was no statistical significance (P>0.05).Conclusion The short term curative effect of complete mesocolic excision in the treatment of elderly patients with colon cancer, which helpful to improve prognosis and survival rate of patients, is affirmative and worthy of clinical promotion. |
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