摘要
目的分析完整结肠系膜切除对老年结肠癌患者的疗效。方法分析2004年1月至2016年10月武陟县人民医院行完整结肠系膜切除术的58例老年结肠癌患者资料,评价手术疗效及安全性;术后常规随访2年,不满2年者随访至术后1年,统计患者肿瘤复发及生存情况。结果手术时间(151.68±20.24)min;术中出血量(100.13±26.57)ml;淋巴结清扫数目(24.28±3.36)个;住院时间(9.15±1.28)d;术后并发症总发生率6.90%。术后6个月生活质量量表SF-36各维度评分均高于术前,差异有统计学意义(P<0.05);肿瘤复发率6.90%,生存率86.21%。结论完整结肠系膜切除在老年结肠癌手术中有出血量少、淋巴结清扫较彻底、术后恢复快等特点,能明显改善患者近期生存质量。
Objective To analyze the curative effect of complete mesorectal excision （ CME） onelderly patients with colon cancer. Methods The data of 58 elderly patients with colon cancer treated by CMEduring the period from January 2004 to October 2016 were analyzed retrospectively. The curative effect and safe.ty were evaluated. The patients were followed up for 2 years and patients who were followed up for shorter than 2years were followed up for 1 year after operation. The tumor recurrence and survival rates of patients were statis.tically analyzed. Results The average surgical time, mean intraoperative blood loss, number of dissectedlymph nodes, average length of hospital stay and the total incidence of postoperative complications were（151. 68±20. 24） min, （100. 13±26. 57） mL, （24. 28±3. 36）, （9. 15±1. 28） d and 6. 90%, respectively.Scores of different dimensions of the quality of life scale （ SF.36） at 6 months after surgery were significantlyhigher than those before the surgery （P〈 0. 05）. The 1.year survival rate was 93. 10%. The tumor recurrencerate was 6. 90%, and the survival rate was 86. 21%. Conclusions CME has characteristics of little blood loss,thorough lymph node dissection and quick recovery after surgery in surgical treatment of colon cancer in elderlypatients. It can significantly improve the short.term quality of life of patients.
出处
《中国肿瘤外科杂志》
CAS
2018年第1期33-35,共3页
Chinese Journal of Surgical Oncology
