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目的比较全结肠系膜切除(CME)与传统根治术治疗结肠癌的临床疗效。方法收集本院2010年1月~2013年12月间收治的64例结肠癌患者临床资料,按照治疗方案分为传统手术组(30例)和CME组(34例),比较两组手术相关指标及术后并发症和复发情况。结果 CME组淋巴结清扫数量明显多于传统手术组,术中出血量低于传统手术组,排气时间明显短于对照组,患者术后并发症发生率及复发率短于对照组,差异均具有统计学意义(P<0.05)。结论 CME切除术治疗结肠癌可有效地减少术中损伤,降低术后并发症发生率及复发率,值得临床推广应用。
Objective To compare the clinical effects of total mesenteric excision (CME) and traditional radical mastectomy for colon cancer. Methods The clinical data of 64 patients with colon cancer admitted from January 2010 to December 2013 in our hospital were collected and divided into three groups: conventional operation group (30 cases) and CME group (34 cases) according to the treatment plan. The operation-related indexes And postoperative complications and recurrence. Results The number of lymph node dissection in CME group was significantly more than that in the conventional surgery group. The blood loss was lower in the CME group than in the conventional surgery group and the evacuation time was significantly shorter than that in the control group. The postoperative complication rate and recurrence rate in CME group were shorter than those in the control group. Statistical significance (P <0.05). Conclusion CME resection of colon cancer can effectively reduce intraoperative injury, reduce the incidence of postoperative complications and recurrence rate, worthy of clinical application.