摘要
目的探讨传统结肠根治术与结肠癌全结肠系膜切除术（Colon cancer all mesocolon resection CME）的临床疗效比较.方法：随机选取并回顾分析2009年6月至2012年6月于我院治疗结肠癌患者102例,其中51例为研究组,采用结肠癌全结肠系膜切除术治疗;另51例病例为对照组,采用传统结肠根治术.对比分析两组患者手术疗效、术后恢复情况,并随访3年统计术后生存率.结果：研究组平均淋巴结数和阳性转移淋巴结数均多于对照组,两者存在统计学差异（p〈0.05）.比较两组患者术中出血量、术后引流情况、肛门排气时间、术后进食时间及术后36个月生存率,研究组各项数据明显优于对照组,两组差异存在统计学意义（p〈0.05）.结论：CME更符合胚胎解剖学基础,较传统方法清扫更多淋巴结和阳性淋巴结.且手术中出血较少,术后引流和患者恢复情况较好,随访3年生存率更高,适宜临床推广.
ObjectiveTo discuss effect of colon cancer all mesocolon resection（CME） comparing radical macrosigmoid operation. Methods：Choosed 102 colon cancerpatients to divide into study group treated by CME, controlled group treated with radical macrosigmoid operation. Compared the clinical effect of these two groups. Results：Thenumber of lymph node and positive transfer number of lymph node, amount of bleeding blood and drainage, anus exhausting time in study group and survival rate after 36 months wasmore than controlled group （p〈0.05）. Conclusion：CME conform to the embryonic anatomical basis, and could remove more lymph node than traditional ways with less bleeding toextend in clinic.
出处
《中医学报》
CAS
2014年第B07期105-105,共1页
Acta Chinese Medicine
关键词
结肠癌
CME
传统根治术
colon cancer, CME, radical macrosigmoid operation.
