CAJ | 학술논문

目的：观察改良右半结肠切除术对结肠癌的临床效果。方法：选取2011年6月至2013年2月我院收治入院的右半结肠癌患者82例（包括回盲部癌、升结肠癌及横结肠肝曲癌），随机分为观察组和对照组，观察组采用改良右半结肠切除术，对照组采用传统右半结肠切除术。观察并对比两组患者的手术时间、术中出血量和远期疗效。结果：观察组术后平均生存率为70.7%，对照组为50.5%，另外，在手术时间、术中出血量等方面，观察组均显著优于对照组，其差异有统计学意义，P<0.05。结论：改良右半结肠切除术的术中效果和远期疗效均优于传统右半结肠切除术，可显著降低术后复发率，改善预后。
목적：관찰개량우반결장절제술대결장암적림상효과。방법：선취2011년6월지2013년2월아원수치입원적우반결장암환자82례（포괄회맹부암、승결장암급횡결장간곡암），수궤분위관찰조화대조조，관찰조채용개량우반결장절제술，대조조채용전통우반결장절제술。관찰병대비량조환자적수술시간、술중출혈량화원기료효。결과：관찰조술후평균생존솔위70.7%，대조조위50.5%，령외，재수술시간、술중출혈량등방면，관찰조균현저우우대조조，기차이유통계학의의，P<0.05。결론：개량우반결장절제술적술중효과화원기료효균우우전통우반결장절제술，가현저강저술후복발솔，개선예후。
objective: to observe the clinical effect of modified right-side colon resection for colon cancer. Methods: choose in June 2011 to February 2011, our hospital of right half colon cancer patients, 82 cases of hospitalized (including back blind cancer, colon cancer and transverse colon liver cancer), randomly divided into observation group and control group, observation group modified right half colon resection, the control group with traditional right colon resection. Observe and compare the two group of patients with operation time, intraoperative blood loss, and the forward curative effect. Results: postoperative observation group, the average survival rate was 70.7%, the control group was 50.5%, in addition, the operation time, intraoperative blood loss, etc., observation group were significantly better than the control group, the difference was statisticaly significant, P < 0.05). Conclusion: the improved effect of intraoperative right-side colon resection and the forward curative effect is superior to the traditional right half colon resection, can significantly reduce the postoperative recurrence rate and improve prognosis.