直肠癌综合治疗后成功足月分娩一例并文献复习

One Case of Successful Term Labor after Comprehensive Treatment of Rectal Cancer and Literature Review

直肠癌(rectal cancer)是消化道常见的恶性肿瘤,目前病因尚未明确。Miles手术即腹会阴切除术(APR)是最常用的低位直肠癌根治性手术,术后会阴区组织薄弱,患者生理、心理方面发生显著变化。FOLFOX6方案是直肠癌术后常用的辅助化疗方法。现阶段,直肠癌综合治疗后成功足月分娩患者罕见,现介绍青海大学附属医院1例直肠癌综合治疗后成功足月分娩的病例,并对直肠癌流行病学特点,直肠癌根治术(Miles手术)、辅助化疗与妊娠的相互影响进行讨论。

Rectal Cancer is a common malignant tumor in the digestive tract. At present, the cause of it isn′t clear. Miles surgery, named abdominal perineectomy (APR), is the most commonly used radical surgery for low rectal cancer. Postoperative perineal tissue is weak, and significant changes have taken place in the patient′s physiology and psychology. FOLFOX6 is a commonly adjuvant chemotherapy for postoperative colorectal cancer. At present, patients with successful term labor after comprehensive treatment of rectal cancer are rare. This paper introduces a case of successful term labor after comprehensive treatment of rectal cancer in the Affiliated Hospital of Qinghai University, and discusses the epidemiological characteristics of rectal cancer, the interaction between radical resection of rectal cancer (Miles surgery), adjuvant chemotherapy and pregnancy.