直肠癌手术治疗44例的疗效分析

Effect analysis of surgical treatment of rectal carcinoma

目的:探讨直肠癌外科治疗的效果,提高围手术期的安全性及术后远期生存率。方法对2005年7月至2007年9月收治的47例直肠癌患者的临床表现、诊断、治疗及预后等资料进行回顾性分析。结果 47例直肠癌患者,早期诊断的只有4例,早期诊断率较低,仅为8.5%。患者手术时的年龄17～78岁,其中17～40岁13例,占27.7%,41～78岁34例,占72.3%。手术治疗44例,其中根治性切除37例,姑息性切除4例,单纯造瘘3例。3例患者拒绝或其他原因没接受外科治疗。根治性术后1、3、5年生存率,分别为100%、83.8%、62.2%。结论通过肠镜和放射性筛查探知,配合血液学实验,可提高直肠癌的早期诊断率。围手术期的妥善处理,根治性手术切除率的提高和手术方式的改良,可提高直肠癌患者术后的远期生存率。

Objective： To explore the effect of surgical treatment of rectal carcinoma, to improve the preoperative security and long - term survival rate. Methods The hospital from July 2005 to September 2007 treated 47 patients with rectal carcinoma, clinical manifestation, diagnosis, treatment and prognosis were retrospectively analyzed. Results Totally 47 patients with rectal carcinoma, early diagnosis were 4 cases, early diagnostic rate was low. The age of patients underwent surgical treatment was 17 ~78 years old. There were 13 cases from 17 to 40 years old,27. 7%. 34 cases from 41 - 78 years old,72.3%. 44 cases underwent surgical treatment,37 of them were treated by radical excision,4 cases were treated by palliative excision,3 cases were treated by colostomy only. 3 cases did not receive the surgical treatment. The survival rate of radical excision after 1 year,3 years,5 years were 100% ,83.8% ,62. 2% each. Conclusions Colonoscopy and radioactive screening combined with hematology experiment can improve the early diagnostic rate of rectal carcinoma. Perioperative properly treated, increase the resection rate of radical surgery and improvement of surgical treatment can improve the long - term survival of patients with rectal carcinoma.