610例大肠癌诊治分析

Diagnosis and treatment of 610 cases of colorectal carcinoma

目的探讨大肠癌的临床特点、手术方式及预后影响因素。方法回顾分析1992年1月至2002年1月十年间治疗的大肠癌610例。结果610例大肠癌行手术治疗者568例,非手术治疗者42例,总手术切除率为87.69%,死亡率1.08%。手术切除组中行根治性切除者493例,姑息性切除者22例。根治性切除者5年的生存率为74.63%,最长生存者至今已达10年。姑息性切除及未行手术治疗者3年生存率仅为10.6%,无5年生存者。结论大肠癌的组织类型及分化程度,与预后密切相关。

Objective To investingate the clinical features, su rgical treatments and factors influencing the prognosis. Methods Clinical data of six hundred and ten patients with colo rectal carcinoma treated from January 1992 to January 2002 were analyzed retrosp ectively . Results Of 610 cases, 568 underwent resection, the total resect ability rate and mortality was 87.69% and 1.08%, respectively. Radical resect ion was achieved in 493 patients.The 5-year survial rate was 74.63% for those who had curative resection and the longest survial periods was ten years up to now. The 3-year survial rate was 10.6% and the 5-year survial was 0%for thos e who had non-curative resection. Conclusions The patholo gical type and biological characteristics play key roles in the prognosis of pat ients with colorectal carcinoma.