完整结肠系膜切除在老年结肠癌患者中的应用分析  

Study on complete mesocolon resection in treatment of elderly patients with colon cancer

作　　者：黄建军[1] 

机构地区：[1]淮安市第一人民医院一分院普外科,江苏淮安223001

出　　处：《临床和实验医学杂志》2014年第19期1621-1623,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨完整结肠系膜切除(CEM)治疗老年结肠癌的临床疗效。方法选取2011年2月至2013年2月行CEM老年结肠癌患者43例的病史资料进行回顾性分析,同时选取同一手术组2011年2月以前行传统结肠癌根治术治疗的老年结肠癌患者30例作为对照组,对比分析两组患者的各项临床指标以及临床疗效。结果观察组淋巴结清扫数量(22.5±3.1)枚,显著多于对照组(19.3±3.0)枚,差异有统计学意义(P<0.05);观察组Ⅲ期淋巴结清扫数量显著多于对照组,差异有统计学意义(P<0.05);两组手术时间、住院时间,术后排气、排便时间,术后并发症发生情况比较无显著差异(P>0.05);但观察组术中出血量显著小于对照组(P<0.05)。结论老年结肠癌病人应用CEM可减少术中出血量,提高淋巴结清扫率,且不增加手术风险及术后并发症的发生率。Objective To explore the clinical efficacy of complete mesocolon excision（ CEM）in treatment of elderly patients with colon cancer. Methods The clinical data of 43 patients with colon cancer during February 2010 to February 2012 were retrospectively analyzed,and 30 patients treated with traditional radical colectomy by same surgery group before February 2010 were selected as control group,and clinical parame-ters and clinical efficacy of these two groups were compared and analyzed. Results The average number of lymph nodes dissected in observation group was 22. 5 ± 3. 1 pieces,and it was significantly more than that of control group（19. 3 ± 3. 0 pieces）,and their difference was statistically significant（ P 〈0. 05）. The number of stage III lymph nodes dissected in observation group was significantly numerous than that of control group, and there was significantly statistical difference（ P 〈0. 05）between these two groups. The difference in operating time,hospitalization stay, postoperative exhaust,defecation time and postoperative complications was not significant between these 2 groups（ P 〉0. 05）;but blood loss in observation group was significantly lower than that of control group（ P 〈0. 05）. Conclusion Elderly patients with colon cancer treated with CEM can reduce the amount of blood loss and raise the rate of dissection of lymph nodes,and it does not increase the surgical risk and incidence of postoperative complications.

关 键 词：老年 结肠癌 完整结肠系膜切除 

分 类 号：R735.35[医药卫生—肿瘤]