完整结肠系膜切除术在结肠癌中的应用价值  

The application of complete mesocolic excision in patients with colonic cancer

作　　者：陈雪秋[1] 

机构地区：[1]浙江省玉环县中医院外科,317600

出　　处：《中国医师进修杂志》2013年第29期9-11,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的分析结肠癌完整结肠系膜切除术（cME）的临床治疗效果，为CME的进一步开展提供理论参考依据。方法选择92例结肠癌患者，根据手术方法不同分为CME组和对照组，每组46例，分别给予CME和传统结肠癌根治术治疗。比较两组手术时间、术中出血量、下床时间、排气时间、首次进食时间、术后住院时间、淋巴结清扫数目、术后并发症发生情况。结果两组手术时间、下床时间、排气时间、首次进食时间、术后住院时间比较差异无统计学意义（P〉0．05）。对照组术中出血量为（367．8±41．2）ml，明显多于CME组的（269．7±32．5）ml，对照组淋巴结清扫数目为（13．6±3．4）枚，明显少于CME组的（19．7±4．2）枚，差异均有统计学意义（P〈0．05）。两组术后并发症发生率比较差异无统计学意义（P〉0．05）。结论结肠癌CME临床疗效好，并不影响患者的术后恢复及术后并发症，值得临床推广应用。Objective To investigate the clinical efficacy of complete mesocolic excision （CME） in patients with colonic cancer, so as to provide a theoretical basis for further development of CME. Methods A total of 92 patients with colonic cancer were collected. The patients were divided into CME group and control group according to the operation method with 46 patients each. The operating time,intraoperative blood loss, after bed time, passage of flatus time, the first feeding time, postoperative hospital stay, numbers of lymph node dissection and postoperative complications were compared between two groups. Results There were no significant differences in the operating time, after bed time,passage of flatus time, the first feeding time and postoperative hospital stay between two groups （P 〉 0.05 ）. However, there was significant difference in intraoperative blood loss and numbers of lymph node dissection between CME group and control group [ （269.7 ± 32.5） ml vs. （367.8 ± 41.2） ml, （19.7 ± 4.2） numbers vs. （ 13.6 ± 3.4） numbers] （P 〈 0.05 ）. There was no signifieant difference in the postoperative complications between two groups （P 〉 0.05 ）, Conclusions CME shows more clinical efficacy in colonic eancer, and which does not affect postoperative recovery and postoperative complications. CME is worthy to promote the clinical application in colonic cancer.

关 键 词：结肠肿瘤 完整结肠系膜切除 

分 类 号：R735.35[医药卫生—肿瘤]