中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
29期
9-11
,共3页
结肠肿瘤%完整结肠系膜切除
結腸腫瘤%完整結腸繫膜切除
결장종류%완정결장계막절제
Colonic neoplasms%Complete mesocolic excision
目的 分析结肠癌完整结肠系膜切除术(CME)的临床治疗效果,为CME的进一步开展提供理论参考依据.方法 选择92例结肠癌患者,根据手术方法不同分为CME组和对照组,每组46例,分别给予CME和传统结肠癌根治术治疗.比较两组手术时间、术中出血量、下床时间、排气时间、首次进食时间、术后住院时间、淋巴结清扫数目、术后并发症发生情况.结果 两组手术时间、下床时间、排气时间、首次进食时间、术后住院时间比较差异无统计学意义(P＞0.05).对照组术中出血量为(367.8 ±41.2)ml,明显多于CME组的(269.7±32.5)ml,对照组淋巴结清扫数目为(13.6±3.4)枚,明显少于CME组的(19.7±4.2)枚,差异均有统计学意义(P＜0.05).两组术后并发症发生率比较差异无统计学意义(P＞0.05).结论 结肠癌CME临床疗效好,并不影响患者的术后恢复及术后并发症,值得临床推广应用.
目的 分析結腸癌完整結腸繫膜切除術(CME)的臨床治療效果,為CME的進一步開展提供理論參攷依據.方法 選擇92例結腸癌患者,根據手術方法不同分為CME組和對照組,每組46例,分彆給予CME和傳統結腸癌根治術治療.比較兩組手術時間、術中齣血量、下床時間、排氣時間、首次進食時間、術後住院時間、淋巴結清掃數目、術後併髮癥髮生情況.結果 兩組手術時間、下床時間、排氣時間、首次進食時間、術後住院時間比較差異無統計學意義(P＞0.05).對照組術中齣血量為(367.8 ±41.2)ml,明顯多于CME組的(269.7±32.5)ml,對照組淋巴結清掃數目為(13.6±3.4)枚,明顯少于CME組的(19.7±4.2)枚,差異均有統計學意義(P＜0.05).兩組術後併髮癥髮生率比較差異無統計學意義(P＞0.05).結論 結腸癌CME臨床療效好,併不影響患者的術後恢複及術後併髮癥,值得臨床推廣應用.
목적 분석결장암완정결장계막절제술(CME)적림상치료효과,위CME적진일보개전제공이론삼고의거.방법 선택92례결장암환자,근거수술방법불동분위CME조화대조조,매조46례,분별급여CME화전통결장암근치술치료.비교량조수술시간、술중출혈량、하상시간、배기시간、수차진식시간、술후주원시간、림파결청소수목、술후병발증발생정황.결과 량조수술시간、하상시간、배기시간、수차진식시간、술후주원시간비교차이무통계학의의(P＞0.05).대조조술중출혈량위(367.8 ±41.2)ml,명현다우CME조적(269.7±32.5)ml,대조조림파결청소수목위(13.6±3.4)매,명현소우CME조적(19.7±4.2)매,차이균유통계학의의(P＜0.05).량조술후병발증발생솔비교차이무통계학의의(P＞0.05).결론 결장암CME림상료효호,병불영향환자적술후회복급술후병발증,치득림상추엄응용.
Objective To investigate the clinical efficacy of complete mesocolic excision (CME)in patients with colonic cancer,so as to provide a theoretical basis for further development of CME.Methods A total of 92 patients with colonic cancer were collected.The patients were divided into CME group and control group according to the operation method with 46 patients each.The operating time,intraoperative blood loss,after bed time,passage of flatus time,the first feeding time,postoperative hospital stay,numbers of lymph node dissection and postoperative complications were compared between two groups.Results There were no significant differences in the operating time,after bed time,passage of flatus time,the first feeding time and postoperative hospital stay between two groups(P＞ 0.05).However,there was significant difference in intraoperative blood loss and numbers of lymph node dissection between CME group and control group[(269.7 ±32.5)ml vs.(367.8 ±41.2)ml,(19.7 ±4.2)numbers vs.(13.6 ±3.4)numbers](P＜0.05).There was no significant difference in the postoperative complications between two groups(P ＞ 0.05).Conclusions CME shows more clinical efficacy in colonic cancer,and which does not affect postoperative recovery and postoperative complications.CME is worthy to promote the clinical application in colonic cancer.
