大肠癌肝转移(附66例报告)

Colorectal cancer with hepatic metastasis (a report of 66 cases)

目的探讨大肠癌肝转移的早期诊断和治疗方法。方法对我院１９９１年５月～１９９７年１２月收治的６６例大肠癌并肝转移的临床资料进行回顾性分析。结果此期间我院收治大肠癌３２５例，并同时性肝转移者６６例，发生率２０３％。１６例行肝切除，５０例行微波固化。切除组１，３年生存率分别为９３７％，６２５％；固化组１，３年生存率分别为８０％，２２％。结论虽然微波固化的效果比肝切除差，但对不能切除的肝转移性肝癌微波固化不失为一种安全有效的方法。

Objective In order to explore the effective mothod of diagnosis and therapy for colorectal cancer with hepatic metastasis in eraly stage. Methods We retrospectively analysed the clinical data of 66 patients of colorectal cancer with hepatic metastasis treated from May 1991 to December 1997 in our hospital. Results In this duration, 325 patients with colorectal carcinoma received treatment and among them, 66 patients had hepatic metastatic carcinoma simultaneously with the occurrence rate 20.3%. Of the 66 cases, 16 cases underwent hepatectomies, 50 cases were treated by microwave solidification. In the hepatectomy group, the 1 , 3 year survival rate was 93.7%, 62.5%; in the microwave solidification growp, the 1 , 3 year survival rates was 80%, 22% respectively. ConclusionsThe results suggest that the clinical effecacy in the hepatectomy group is better than that in the microwave solidification group, but the microwave solidification therapy is a safe and effective method, expecially for the patient with unable resected hepatatic metastasis.