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瑞士圣加仑州立医院外科大肠癌治疗状况(附183例临床病理分析)

The Status of Surgical Treatment for Colorectal Cancer.A Clinical and Pathological Analysis of 182 Cases
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摘要 1991年1月至1993年7月,共计182例大肠癌患者在瑞士圣加仑州立医院外科接受手术治疗。男女之比=1.36:1,平均年龄69.9岁。67.6%的患者有可证实的危险因素,其中以肠息肉为主(54.9%)。平均症状期为4.5个月。主要症状为排便习惯改变(50.5%)和便血(40.1%)。180例患者(98.9%)接受了根治性(77.5%)或姑息性(21.5%)肿瘤切除。79.4%的直肠癌患者均可接受保肛手术。45例(24.7%)患者接受了包括一个或一个以上相邻脏器的扩大根治术。共计87例(47.8%)出现术后并发症,手术死亡率为6%。总的3年生存率为65.1%。 BetweenJanuary 1991 and July 1993,a total of 182 Patients With colorectal cancer were operated upon in the surgical department of Kantonsspital St.Gallen,Switzerland.The male and female ratio was 1.36:1 and the average age of the patients was 69. 9 years.The risk factors could be discovered in 67. 6% of patients and with polyps(54.9%) predominating.The average duration of symptom was 4.5 months. The change of habit of discharge( 50. 5%) and blood in stool (40.1%) were the most common symptoms.Radical( 77. 5%) and palliative (21.5%) surgery were Performed in 180 Patients(98. 9%)·As for sphincter saving operations it, had been performed in 79. 4% of all rectal cases.Extended resection was performed in 45 patients( 24.7%). The postoperative complication was found in 87 patients(47.8%).Mortality after operation was 6%.The 3-year survival rate after operation was 65. 1%.
作者 梁寒 Pommer,S
机构地区 天津市肿瘤医院
出处 《中国肿瘤临床》 CAS CSCD 北大核心 1996年第3期198-203,共6页 Chinese Journal of Clinical Oncology
关键词 大肠肿瘤 外科手术 病理分析 瑞士 Colorectal cancer Surgical treatment
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