[摘要] 目的 觀察基于3個(gè)外科平面手術(shù)路徑在腹腔鏡完整系膜切除術(shù)治療右半結(jié)腸癌中的應(yīng)用，評(píng)價(jià)其臨床效果。方法 以2012年1月—2016年12月為研究時(shí)間段，選取該院收治的25例右半結(jié)腸癌患者為研究對(duì)象，依據(jù)建檔順序分為對(duì)照組（2012年1月—2014年12月）10例行常規(guī)結(jié)腸癌根治術(shù)，研究組（2015年1月—2016年12月）15例行基于3個(gè)外科平面手術(shù)路徑在腹腔鏡完整系膜切除術(shù)，總結(jié)比較兩組患者臨床治療效果。結(jié)果 研究組術(shù)中出血量（54.6±6.4）mL、住院時(shí)間（10.1±2.2）d、淋巴結(jié)清掃數(shù)（22.7±4.6）枚明顯優(yōu)于對(duì)照組（89.6±8.4）mL、（13.5±2.7）d、（15.9±4.2）枚，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）；研究組與對(duì)照組治療后切口感染（6.7% vs 10.0%）、腸梗阻（0.0% vs 10.0%）等并發(fā)癥發(fā)生率差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）；研究組術(shù)后6個(gè)月復(fù)發(fā)率（6.7%）明顯低于對(duì)照組（20.0%）（P<0.05）；經(jīng)對(duì)兩組患者為期6個(gè)月的隨訪中，兩組患者生活質(zhì)量各維度評(píng)分較之治療前明顯提升，且研究組提升效果明顯高于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 基于3個(gè)外科平面手術(shù)路徑應(yīng)用于腹腔鏡完整系膜切除術(shù)治療右半結(jié)腸癌中療效確切，有助于降低患者術(shù)中出血量，減少住院時(shí)間，提升淋巴結(jié)清掃數(shù)目，改善患者生活質(zhì)量評(píng)分，具有較高臨床應(yīng)用價(jià)值。
　　[關(guān)鍵詞] 基于3個(gè)外科平面手術(shù)路徑；腹腔鏡完整系膜切除術(shù)；右半結(jié)腸癌；療效
　　[中圖分類號(hào)] R735 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742（2018）01（c）-0052-04
　　[Abstract] Objective This paper tries to observe the application of three surgical approaches in laparoscopic total mesorectal excision for the treatment of right colon cancer， and to evaluate its clinical effect. Methods 25 cases of right colon cancer patients from January 2012 to December 2016 admitted to the hospital were selected as the research objects， according to the filing order， they were divided into control group（January 2012 - December 2014） and 10 cases underwent radical nephrectomy with conventional colon cancer； and the study group（January 2015 - December 2016）， 15 cases based on three surgical operation path in the plane laparoscopic complete mesocolic excision， summarized and compared the clinical effect of two groups. Results The hemorrhage in the study group was （54.6±6.4）mL， hospitalization time （10.1±2.2）d， lymph nodes （22.7±4.6）， significantly better than the control group of （89.6±8.4）mL， （13.5±2.7）d， （15.9±4.2）， the difference was statistically significant （P<0.05）； the study group and control group after treatment of wound infection （6.7% vs 10.0%）， intestinal obstruction （0.0% vs 10.0%） no significant difference in complication rate（P>0.05）； the rate of recurrence of 6 months after operation in study group was significantly lower than the control group（6.7% vs 20.0%）（P<0.05）； the two patients were followed up for 6 months， two groups of patients with various dimensions of quality of life scores were improved more significantly than before treatment， and improvement of study group was significantly higher than the control group， the difference was statistically significant（P<0.05）. Conclusion Three surgical plane surgical approaches used in laparoscopic resection of complete mesocolic in treatment of colorectal cancer is exact， helping to reduce blood loss， reducing hospitalization time， increasing the number of lymph node dissection， improving patient quality of life score， and has high clinical application value.

相關(guān)熱詞搜索：路徑 臨床 切除術(shù) 腹腔鏡 手術(shù)