当代医学
噹代醫學
당대의학
Contemporary Medicine
2015年
29期
9-10
,共2页
保留左结肠动脉%乙状结肠癌根治术%乙状结肠癌
保留左結腸動脈%乙狀結腸癌根治術%乙狀結腸癌
보류좌결장동맥%을상결장암근치술%을상결장암
Keep left colic artery sigmoid colon cancer%Radical surgery%Sigmoid colon cancer
目的 探讨应用乙状结肠癌根治术治疗患有乙状结肠癌疾病患者保留左结肠动脉的临床效果.方法 选择患有乙状结肠癌疾病的患者92例,随机均分为对照组和治疗组(n=46).对照组患者采用肠系膜下动脉根部结扎乙状结肠癌根治术实施治疗;治疗组患者采用保留左结肠动脉乙状结肠癌根治术实施治疗,比较2组患者的临床疗效.结果 治疗组患者手术后远端肠管(5.79±0.52)cm和近端肠管长度(11.64±1.60)cm显著低于对照组[(8.83±0.65)cm、(16.39±1.46)cm](P<0.05);治疗组在结肠癌手术治疗期间出现不良反应例数(1例)显著少于对照组(9例)(P<0.05);结肠癌手术操作时间(68.54±7.69)min和术后住院治疗总时间(9.43±2.75)d显著短于对照组[(94.27±10.54)min、(13.56±3.75)d)](P<0.05);乙状结肠癌疾病治疗总有效率(91.3%)显著优于对照组(71.8%)(P<0.05).结论 应用保留左结肠动脉乙状结肠癌根治术对患有乙状结肠癌疾病患者实施治疗的临床效果非常明显.
目的 探討應用乙狀結腸癌根治術治療患有乙狀結腸癌疾病患者保留左結腸動脈的臨床效果.方法 選擇患有乙狀結腸癌疾病的患者92例,隨機均分為對照組和治療組(n=46).對照組患者採用腸繫膜下動脈根部結扎乙狀結腸癌根治術實施治療;治療組患者採用保留左結腸動脈乙狀結腸癌根治術實施治療,比較2組患者的臨床療效.結果 治療組患者手術後遠耑腸管(5.79±0.52)cm和近耑腸管長度(11.64±1.60)cm顯著低于對照組[(8.83±0.65)cm、(16.39±1.46)cm](P<0.05);治療組在結腸癌手術治療期間齣現不良反應例數(1例)顯著少于對照組(9例)(P<0.05);結腸癌手術操作時間(68.54±7.69)min和術後住院治療總時間(9.43±2.75)d顯著短于對照組[(94.27±10.54)min、(13.56±3.75)d)](P<0.05);乙狀結腸癌疾病治療總有效率(91.3%)顯著優于對照組(71.8%)(P<0.05).結論 應用保留左結腸動脈乙狀結腸癌根治術對患有乙狀結腸癌疾病患者實施治療的臨床效果非常明顯.
목적 탐토응용을상결장암근치술치료환유을상결장암질병환자보류좌결장동맥적림상효과.방법 선택환유을상결장암질병적환자92례,수궤균분위대조조화치료조(n=46).대조조환자채용장계막하동맥근부결찰을상결장암근치술실시치료;치료조환자채용보류좌결장동맥을상결장암근치술실시치료,비교2조환자적림상료효.결과 치료조환자수술후원단장관(5.79±0.52)cm화근단장관장도(11.64±1.60)cm현저저우대조조[(8.83±0.65)cm、(16.39±1.46)cm](P<0.05);치료조재결장암수술치료기간출현불량반응례수(1례)현저소우대조조(9례)(P<0.05);결장암수술조작시간(68.54±7.69)min화술후주원치료총시간(9.43±2.75)d현저단우대조조[(94.27±10.54)min、(13.56±3.75)d)](P<0.05);을상결장암질병치료총유효솔(91.3%)현저우우대조조(71.8%)(P<0.05).결론 응용보류좌결장동맥을상결장암근치술대환유을상결장암질병환자실시치료적림상효과비상명현.
Objective To the left colic artery sigmoid colonic resection method for the implementation of the clinical effect of treatment to patients suffering from carcinoma of sigmoid colon disease patients studied the application of retention.Methods In the suffering 92 patients with sigmoid colon cancer disease, were randomly divided into control group and treatment group with 46cases in each group, the average. Use of high ligation of inferior mesenteric artery sigmoid colon carcinoma radical operation on the patients in the treatment group control mode; with preservation of left colic artery sigmoid colon carcinoma radical operation on the patients in the treatment group the treatment way of implementation. Results Treatment group after surgery in patients with distal bowel loops (5.79± 0.52)cm and proximal intestinal canal length (11.64 ±1.60)cm was significantly lower than control group [(8.83±0.65)cm, (16.39±1.46)cm] (P<0.05); The number of adverse reactions in colon cancer surgery (1 case) significantly less than control group (9 cases) (P<0.05); Colon cancer surgery operating time (68.54 ±7.69)min and postoperative hospitalization, total time (9.43±2.75)d significantly shorter than the control group [(94.27 ±10.54)min and (13.56 ±3.75)d)] (P<0.05); Sigmoid colon cancer disease treatment effect (total effective rate 91.3%), significantly better than that of control group (total effective rate 71.8%) (P<0.05).Conclusion The left colic artery sigmoid colon carcinoma radical operation mode on with sigmoid colon disease patients in the clinical treatment effect is very obvious application of retention.
