周国平

[摘要] 目的 分析和评价改良右半结肠切除术治疗结肠癌的临床效果。方法 方便选择该院于2012年6月—2016年6月间收治的109例结肠癌患者为研究对象。按入院顺序分A组和B组，分别是55例与54例。A组给予改良右半结肠切除术治疗，B组给予传统手术治疗。对比治疗相关指标、并发症情况、复发几率和临床疗效。结果 A组的术中出血量（83.35±15.32）mL、手术时间（61.42±12.33）min和住院时间（12.40±2.63）d均短于B组[（159.32±25.61）mL、（122.41±20.13）min、（17.25±3.51）d]；淋巴结清除数量（6.58±2.44）个多于B组（3.27±1.25）个，对比差异有统计学意义（P<0.05）。A组的并发症发生率为3.64%，B组为14.81%；A组的复发率是1.82%，B组是11.11%，对比差异有统计学意义（P<0.05）。A组的治疗总有效率是98.18%，B组是85.19%，对比差异有统计学意义（P<0.05）。结论 为结肠癌患者采取改良右半结肠切除术治疗可显著改善其相关指标，降低其复发几率和并发症发生率，值得推广。

[关键词] 改良右半结肠切除术；结肠癌；治疗相关指标；并发症

[中图分类号] R735.35 [文献标识码] A [文章编号] 1674-0742（2017）08（a）-0072-03

[Abstracts] Objective This paper tries to analyze and evaluate the clinical effect of modified right hemicocele in the treatment of colon cancer. Methods 109 cases of colon cancer in this hospital from June 2012 to June 2016 were convenient selected and divided into group A and group B according to their admission order. 55 cases of group A were treated with modified right hemicolectomy and 54 cases in group B were given conventional surgery. The treatment-related indicators， complications， recurrence and clinical efficacy of the two groups were compared. Results The volume of bleeding in group A was （83.35±15.32） mL， the operation time was （61.42±12.33） minutes and hospitalization time was （12.40±2.63） days， shorter than group B of （159.32±25.61） mL， （122.41±20.13） minutes， （17.25±3.51） days； the number of lymph node dissection of group A was （6.58 ±2.44）， more than that of group B of （3.27±1.25）， the differences were statistically significant （P<0.05）. The complication rate was 3.64% in group A and 14.81% in group B. The recurrence rate in group A was 1.82% and that in group B was 11.11%. There were statistically significant differences between the two groups （P<0.05）. The total effective rate was 98.18% in group A and 85.19% in group B. The difference was statistically significant （P<0.05）. Conclusion Modified right hemicocele therapy can improve the relevant indexes and reduce the recurrence rate and complication rate in colorectal cancer patients， and it is worth popularization.

[Key words] Modified right hemicocele； Colon cancer； Treatment-related indicators； Complications

結肠癌是消化系统的常见疾病之一，其属于恶性肿瘤，高发于结肠部位[1]。该病的早期症状不明显，主要为消化不良或是腹胀等。病情发展至一定程度时，便会出现血便、便前腹痛等严重症状，对患者的基本生活造成重大干扰。其常见疗法是手术治疗，但术式不同，所取得的临床效果也不尽相同[2]。该文特方便选取该院于2012年6月—2016年6月间收治的109例结肠癌患者为研究主体，旨在分析改良右半结肠切除术治疗该病的临床效果，现报道如下。

1 资料与方法

1.1 一般资料

方便选择该院收治的109例结肠癌患者为研究对象。划分为A组和B组，分别是55例与54例。A组中，男32例，女23例；年龄范围是37～69岁，平均（45.21±2.13）岁；分化程度为：高分化25例，中分化20例，低分化10例；癌症类型为：盲肠癌39例，升结肠癌12例，肝区结肠癌4例。B组中，男30例，女24例；年龄范围是36～68岁，平均（45.15±2.43）岁；分化程度为：高分化24例，中分化19例，低分化11例；……