结直肠癌术后复发转移类型与临床病理因素的关系分析

The Pattern of Recurrence ＆ Metastasis Following Colorectal Carcinoma Surgery and their Clinical Pathologi- cal Factors.. Relativity Analysis

为探讨结直肠癌术后复发转移类型与临床病理因素的关系，对113例结直肠癌术后复发转移患者的临床病理资料进行回顾性分析。结果显示，113例患者中，局部复发38例（33．6％），远处转移75例（66．4％）；肝转移36例（31．9％），肺转移16例（14．2％），腹膜种植转移12例（10．6％），其他转移11例（9．7％）。单因素分析结果显示，结直肠癌术后复发转移类型与原发肿瘤部位、有无区域淋巴结转移有关，P〈0．05。结果表明，结直肠癌术后以远处转移为主要的复发转移方式，直肠癌患者术后局部复发更多见，结肠癌和有区域淋巴结转移的患者术后以远处转移为主要的复发转移类型。

In order to explore the relationship of the pattern of recurrence ＆ metastasis following colorectal carcinoma surgery and the clinical pathological factors, authors retrospectively analysed the clinical pathological data of the 113 patients suffered recurrence ＆ metastasis after surgery for their colorectal car- cinoma.As results, among the 113 cases 38 were of local recurrence（33.6%）,75 of distant metastasis （66.4%） ,36 of liver metastasis （31.9%） ,16 of lung metastasis （14.2%） ,12 of peritoneum implant metas- tasis （10.6%）, 11 of metastasis to other sites（9.7%）;monoffactor analysis showed that primary neoplasm site,with or without area lymph-node metastasis were related to the recurrence ~ metastasis pattern （ P 〈0.05）.Results show that after surgery for eolorectal carcinoma distant metastasis is their main recurrence metastasis pattern,and local recurrence is a more common pattern in rectal carcinoma;in the patients with area lymph-node metastasis distant metastasis is predominant in colonic carcinoma.