CAJ | 학술논문

目的：探讨完整结肠系膜切除术与传统根治术治疗结肠癌的临床疗效。方法选取2010年5月～2012年5月我院进行治疗的结肠癌患者137例，随机的分为研究组68例和对照组69例。观察术中的出血量、术后肛门排气时间，拔管时间，住院天数时间，术后开始进食时间；两组术后吻合口漏及残端肿瘤残余情况；及两组患者术中淋巴结切除情况。结果研究组术中的出血量、术后肛门排气、拔管、开始进食及住院时间皆优于对照组，两组比较，差异具有统计学意义（P＜0.05）。研究组患者吻合口漏1例，残端肿瘤残余2例，对照组分别为6例和8例，两组比较差异具有统计学意义（P＜0.05）。研究组患者的平均淋巴结数和阳性转移淋巴结数均多于对照组，两组比较差异具有统计学意义（P＜0.05）。结论完整结肠系膜切除术对结肠癌的治疗效果比较好，对人体的损伤小，并发症少，值得在临床上推广应用。
목적：탐토완정결장계막절제술여전통근치술치료결장암적림상료효。방법선취2010년5월～2012년5월아원진행치료적결장암환자137례，수궤적분위연구조68례화대조조69례。관찰술중적출혈량、술후항문배기시간，발관시간，주원천수시간，술후개시진식시간；량조술후문합구루급잔단종류잔여정황；급량조환자술중림파결절제정황。결과연구조술중적출혈량、술후항문배기、발관、개시진식급주원시간개우우대조조，량조비교，차이구유통계학의의（P＜0.05）。연구조환자문합구루1례，잔단종류잔여2례，대조조분별위6례화8례，량조비교차이구유통계학의의（P＜0.05）。연구조환자적평균림파결수화양성전이림파결수균다우대조조，량조비교차이구유통계학의의（P＜0.05）。결론완정결장계막절제술대결장암적치료효과비교호，대인체적손상소，병발증소，치득재림상상추엄응용。
Objective To study the clinical efficacy of complete membrane excision and traditional radical surgery in the treatment of colon cancer. Methods 137 patients of colon cancer in our hospital from May 2010 to May 2012 were collected, who were randomly divided into 68 cases of the study group and 69 cases of the control group.The intraoperative blood loss,postoperative anal exhaust time, extubation time, length of stay, postoperative eating time, postoperative anastomotic leakage, postoperative remnants of stump tumors, and intraoperative lymph node resection of patients in the two groups were observed. Results The intraoperative blood loss,postoperative anal exhaust time,extubation time, postoperative eating time and length of stay of patients in the study group were better than those in the control group,the differences were statistically significant between the two groups(P < 0.05).There was 1 case of anastomotic leakage,2 cases of remnants of stump tumors in the study group,while there were 6 cases of anastomotic leakage,8 cases of remnants of stump tumors in the control group,there were statistically significant differences between the two groups(P<0.05).The average number of lymph node and number of positive lymph node metastasis of patients in the study group were more than those in the control group,there were statistically significant differences between the two groups(P<0.05). Conclusion The complete membrane excision in the treatment of colon cancer has better clinical efficacy, less damage to human body,less complications, and is worthy of clinical application.