摘要
目的总结和分析复发性大肠癌的临床特点和外科治疗效果。方法回顾分析1993年2月至2003年10月收治的84例复发性大肠癌患者再次手术和预后情况,其中结肠癌44例,直肠癌40例。结果吻合口复发26例,肝转移15例,腹膜转移15例,盆腔内复发21例,会阴部复发7例。手术切除率为72.6%(61/84)。根治性切除率为54.8%(46/84),结、直肠癌分别为52.3%(23/44)和60.0%(24/40);姑息性切除率为34.5%(29/84),结、直肠癌分别为34.1%(15/44)和32.5%(13/40);仅行捷径手术10.7%(9/84),结、直肠癌分别为13.6%(6/44)和7.5%(3/40)。其中,结肠癌切除率为86.4%,直癌切除率为92.5%。术后3例失访,随访率为96.4%,1,3,5,10生存率分别为66.7%、34.6%、25.9%和12.3%。结论手术切除仍然是治疗复发性大肠癌的主要手段,根治性外科治疗可以提高复发性大肠癌的生存率。
Objective To analyze the clinical features of diagnosis for recurrent colorectal cancer and the result of surgery treatment.Methods Eighty-six cases of postoperative colorectal cancer admitted from Feb. 1993 to June 2003 were studied retrospectively. Results Recurrence in anastomotic stoma, liver, peritoneal, pelvic cavity and perineum were 26, 15, 15, 21,and 7 cases respectively. Removal rate was 72.7% and curative resection rate was 54.2%. 81 cases were follow-up, and the 1,3,5 and 10-year survival rate were 66.7% ,34.6% ,25.9% and 12.3 % respectively. Conclusion Radical surgical treatment can improve the symptoms and increase the survival rate of recurrent colorectal cancer.
出处
《中国肿瘤临床与康复》
2005年第5期435-437,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
结直肠肿瘤
外科学
复发
Colorectal neoplasms/surgery
Recurrence
