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目的观察完整结肠系膜切除对Ⅲ期结肠癌患者近期预后的影响。方法根据不同术式将79例Ⅲ期结肠癌患者分为2组,观察组41例行完整结肠系膜切除术治疗,对照组38例行常规根治术治疗,比较2组淋巴结清扫数目、术后情况、并发症发生率、复发率及生存率。结果观察组Ⅲ期、右半结肠淋巴结清扫数目多于对照组(P<0.05);2组左半结肠淋巴结清扫数目比较差异无统计学意义(P>0.05)。2组患者拔管时间、排气时间、进食时间、术后住院时间、住院费用及术后并发症发生率及生存率比较差异均无统计学意义(P>0.05);观察组复发率显著低于对照组(P<0.05)。结论完整结肠系膜切除术显著提高了Ⅲ期结肠癌淋巴结清扫数目,降低了术后复发率,且并未增加术后并发症发生率,值得临床重视。
Objective To observe the effect of complete mesorectal excision on the short-term prognosis of patients with stage Ⅲ colon cancer. Methods According to different surgical procedures, 79 patients with stage Ⅲ colon cancer were divided into two groups. 41 cases in the observation group were treated by complete mesorectal excision, 38 cases in the control group were treated by conventional radical operation. The number of lymph node dissection and postoperative , Complication rate, recurrence rate and survival rate. Results The number of lymph node dissection in the right half of the observation group was more than that of the control group (P <0.05). There was no significant difference in the number of lymph node dissection between the two groups (P> 0.05). There was no significant difference in extubation time, exhaust time, intake time, postoperative hospital stay, hospitalization cost, postoperative complication rate and survival rate between the two groups (P> 0.05). The recurrence rate of the observation group was significantly lower In the control group (P <0.05). Conclusion Complete mesorectal excision improves the number of lymph node dissection in stage Ⅲ colon cancer significantly, reduces the recurrence rate, and does not increase the incidence of postoperative complications, which deserves clinical attention.