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目的探讨分析完整结肠系膜切除在结肠癌手术治疗中的应用效果。方法选取我院2010年1月~2010年12月间收治的88例结肠癌患者,根据手术方法的不同分为观察组和对照组,每组各44例。观察组应用完整结肠系膜切除进行治疗,对照组应用传统手术方法治疗,术后随访1~3年,观察比较两组的治疗效果。结果在术后吻合口漏的发生率、术后残端的肿瘤残留率、术后局部的复发率、术后3年存活率方面比较,观察组明显优于对照组,P<0.05,有统计学意义。结论完整结肠系膜切除在结肠癌手术治疗中的应用较满意,使患者的术后吻合口漏的发生率、术后残端的肿瘤残留率、术后局部的复发率明显减少,患者的生存率得到提高。
Objective To investigate the application of complete mesorectal excision in the surgical treatment of colon cancer. Methods Eighty-eight patients with colon cancer admitted to our hospital from January 2010 to December 2010 were divided into observation group and control group according to the different surgical methods, 44 cases in each group. The observation group was treated by complete mesorectal excision. The control group was treated by traditional surgical methods. The patients were followed up for 1 to 3 years. The therapeutic effect was observed and compared between the two groups. Results in the postoperative anastomotic leakage rate, postoperative residual tumor residual rate, postoperative local recurrence rate, 3-year survival rate compared with the observation group was significantly better than the control group, P <0.05, there are statistics significance. Conclusions The application of complete mesorectal excision in the surgical treatment of colon cancer is more satisfactory. The incidence of postoperative anastomotic leakage, postoperative residual tumor residual rate and postoperative local recurrence rate are significantly reduced, and the survival rate of patients is improve.