International Journal of Clinical Research
International Journal of Clinical Research. 2026; 10: (3) ; 10.12208/j.ijcr.20260151 .
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通辽市人民医院 内蒙古通辽
*通讯作者: 崔晶,单位:通辽市人民医院 内蒙古通辽; ;
目的 就完整结肠系膜切除术在老年结肠癌手术治疗中的应用价值进行探析。方法 纳入本院2022年6月-2023年6月收治的76例老年结肠癌患者为探究对象,按照随机分配原则划分为对照组与探究组各38例。对照组实施LHC治疗,探究组实施CME+CVL治疗。对比两组患者临床相关指标、术后并发症率及术后2年内肿瘤复发率。结果 探究组患者手术临床相关指标水平评分优于对照组(P<0.05),而且探究组患者术后并发症率及术后2年内肿瘤复发率均低于对照组(P<0.05)。结论 完整结肠系膜切除术在老年结肠癌手术治疗中效果显著,手术方式更为为安全可靠,值得临床推广应用。
Objective To investigate the application value of complete mesocolic excision in the surgical treatment of elderly colon cancer. Methods A total of 76 elderly colon cancer patients admitted to our hospital from June 2022 to June 2023 were enrolled as the study subjects and randomly divided into a control group and an experimental group, with 38 cases in each group. The control group received LHC treatment, while the experimental group received CME+CVL treatment. The clinical-related indicators, postoperative complication rates, and tumor recurrence rates within 2 years after surgery were compared between the two groups. Results The experimental group showed superior clinical-related indicator scores compared to the control group (P<0.05), and both the postoperative complication rate and tumor recurrence rate within 2 years after surgery were lower in the experimental group (P<0.05). Conclusion Complete mesocolic excision demonstrates significant efficacy in the surgical treatment of elderly colon cancer, offering a safer and more reliable surgical approach, which is worthy of clinical promotion and application.
[1] 欧阳文. 完整结肠系膜切除术在老年结肠癌手术治疗中的应用分析[J]. 中国农村卫生,2021,13(8):90-91.
[2] 朱伟毅. 腹腔镜结肠癌切除联合完整结肠系膜切除在老年结肠癌手术中的应用价值分析[J]. 智慧健康,2023, 9(19):192-195.
[3] 程军. 完整结肠系膜切除术在老年结肠癌手术治疗中的应用[J]. 世界复合医学,2024,10(8):119-123.
[4] 尚大可,高满仓,赵力波,等. 完整结肠系膜切除术在老年人结肠癌手术治疗中的安全性分析[J]. 智慧健康,2023, 9(27):163-166.
[5] 孙明,昌春雷,张宏伟. 老年人结肠癌手术治疗中完整结肠系膜切除术的安全性分析[J]. 黑龙江医药科学,2023, 46(5):161-162.
[6] 沈佳峰,方良. 不同入路腹腔镜CME治疗老年性右半结肠癌的效果比较[J]. 浙江创伤外科,2025,30(6):1074-1077.
[7] 焦晓燕,王胜斌,居霞,等. 腹横肌平面阻滞复合全麻对老年结肠癌手术患者血流动力学、疼痛及炎症反应的影响[J]. 中华保健医学杂志,2023,25(4):447-450.
[8] 杨超杰. 联合麻醉对老年结肠癌手术患者肠道屏障的影响[D]. 华北理工大学,2018.
[9] 蒲军. 不同剂量乌司他丁对老年结肠癌手术患者术后谵妄的影响[D]. 新疆:新疆医科大学,2020.
[10] 黄士波.探究完整结肠系膜切除术(CME)与传统手术治疗结肠癌患者临床疗效和术后并发症的差异I健康之友,2021(1):38.