中老年直肠癌患者直肠癌扩大根治术的可行性研究  

Research on the clinical feasibility of extended radical resection for middle-aged and elderly patients with rectal cancer

作　　者：陈建光 

机构地区：[1]江苏省徐州市第六人民医院普外科,221006

出　　处：《齐齐哈尔医学院学报》2016年第27期3385-3386,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨中老年直肠癌患者直肠癌扩大根治术的可行性研究。方法将本院收治的112例中老年直肠癌患者随机分为两组。对照组56例采用直肠全系膜切除术(TME),而实验组56例采用直肠癌扩大根治术。比较两组患者手术住院及并发症的差异。结果实验组患者手术时间高于对照组,比较具有统计学差异(P<0.05),而手术出血、住院时间稍高于对照组,比较无统计学差异(P>0.05);实验组患者并发症发生率为10.7%稍高于对照组7.1%,比较无统计学差异(P>0.05)。结论直肠癌扩大根治术对中老年直肠癌患者安全性高、可行性强,值得临床选择。Objective To study the clinical feasibility of extended radical resection for middle-aged and elderly patients with rectal cancer.Methods 112 middle-aged and elderly patients with rectal cancer admitted in our hospital were randomly divided into two groups,56 cases each group. The control group adopted TME（ total mesorectal excision）,while the test group adopted the extended radical resection. The operation condition and complications were observed. Results The operation time of test group was longer than control group（ P〈0.05）.The bleeding volume and hospitalization time of test group was slightly higher than control group,but the difference without statistically significant（ P〉0.05）. The incidence rate of complications in test group（ 10.7%）was slightly higher than control group（ 7. 1%）,however,the difference without statistically significant（ P〈0.05）.Conclusions For middle-aged and elderly patients with rectal cancer,the extended radical resection can improve the clinical safety and feasibility. It shall be recommended in clinical practice.

关 键 词：中老年 直肠癌 直肠癌扩大根治术 可行性 

分 类 号：R735.37[医药卫生—肿瘤]