文章摘要
曹小进.结肠癌行完整结肠系膜切除联合化疗对老年病人生活质量的影响[J].安徽医药,2017,21(8):1465-1468.
结肠癌行完整结肠系膜切除联合化疗对老年病人生活质量的影响
Effect of complete mesocolic excision combined with chemotherapy on quality of life in elderly patients with colon cancer
投稿时间:2016-12-23  
DOI:
中文关键词: 结肠系膜切除  化疗  结肠癌手术  生活质量
英文关键词: Mesocolic excision  Chemotherapy  Colon cancer surgery  Quality of life
基金项目:
作者单位
曹小进 平煤神马医疗集团总医院普外二科,河南 平顶山 467000 
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中文摘要:
      目的 探讨完整结肠系膜切除联合术后化疗对老年结肠癌手术后病人疗效及生活质量的影响。方法 选取行结肠癌治疗的100例老年病人,根据病人的手术方式不同分为完整结肠系膜切除联合化疗组(观察组)和传统手术联合化疗组(对照组),比较两组病人临床疗效和生活质量的差异。结果 观察组在术中出血量、术后排气时间、住院时间显著低于对照组(P<0.001),淋巴结清除数比对照组明显增加(P<0.001)。观察组的缓解率90.74%明显高于对照组的73.91%(P<0.05)。观察组并发症显著低于对照组(P<0.05)。观察组的生活质量评价分值显著高于对照组(P<0.001)。结论 完整结肠系膜切除联合化疗对老年结肠癌手术后病人的临床治疗效果与传统的治疗方法相比,并发症少,利于病人康复,提高病人的生活质量。
英文摘要:
      Objective To investigate the effect of complete mesocolic excision combined with postoperative chemotherapy in the treatment of elderly patients with colon cancer. Methods 100 elderly patients with colon cancer treated in our hospital from June 2015 to June 2016 were selected.According to the different surgical methods,the patients were divided into complete resection of the colon membrane combined with chemotherapy group (Study group) and traditional surgery combined with chemotherapy group (Control group).The clinical efficacy and quality of life were compared between the two groups. Results The amount of bleeding,postoperative exhaust time and hospital stay in the study group were significantly lower than those in the control group (P<0.001),and the number of lymph node clearance were significantly higher than that of the control group (P<0.001).The remission rate of the study group was 90.74% higher than 73.91% of the control group (P<0.05).The complications in the study group were significantly lower than those in the control group (P<0.05).The scores of quality of life in the study group were significantly higher than those in the control group (P<0.001). Conclusion Compared with the traditional treatment methods,the clinical efficacy of complete mesocolic excision combined with chemotherapy in the treatment of elderly patients with colon cancer surgery is less,which is beneficial to rehabilitation and improves the quality of life of patients.
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