多学科协作快速流程下结肠癌肿瘤内科治疗的临床研究

Clinical Effect of Medical Treatment for Colorectal Cancer Patients in Multi Disciplinary Team

目的探讨在多学科协作(multi disciplinary team MDT)诊治模式快速流程下结肠癌肿瘤内科治疗的临床差异性。方法选择2010年6月～2011年6月期间就诊于我院多学科协作诊治专业组的结肠癌患者30例为MDT组,选择同期常规模式治疗的结肠癌患者35例为非MDT组,分析比较快速流程下结肠癌肿瘤内科治疗和非快速流程下结肠癌肿瘤内科治疗之间临床疗效差异。结果快速流程下结肠癌肿瘤内科治疗无论是新辅助化疗还是术后辅助化疗经过6～10个月的随访,MDT组的患者术后肿瘤复发或转移率低于非MDT组(P<0.05)。结论结直肠肿瘤MDT模式针对结肠癌采用综合治疗方案,不仅有利于治疗方案的合理时间分配,而且可降低患者复发或转移率,提高治疗效果。

Objective To discuss the clinical differences among people being treated with internal medical treatment, for colorectal cancer patients in multi disciplinary team. Methods Thirty cases with colon carcinoma in our tumor hospital from June 2010 to June 2011, were treated with MDT. Thirty-five cases with control team was treated with routine methods. To compare the clinical effect differences between MDT group and non-MDT group. Results During the 6-10 months follow-up, whatever Neo-adjuvant chemotherapy or adjuvant chemotherapy, there came out less cancer recurrence and metastasis rate in the MDT model group than the other （P〈0.05）. Conclusion The Multi Disciplinary Team of colorectal cancer has showed a priority to routine ways, not only the more reasonable time arrangement for therapy, but also the more satisfied surgical outcomes, to reduce recurrence and metastasis rate in colorectal cancer patients.