大肠癌手术后肝转移的诊断与治疗

The Diagnosis and Treatment of Postoperative Hepatic Metastasis from Colorectal Carcinoma

目的:探讨大肠癌手术后肝转移的诊断与治疗。方法:对35例大肠癌手术后肝转移的诊治效果进行回顾性分析。结果:所有的病例均得到CEA、B超和(或)CT检查证实,其1年和3年生存率在根治性手术切除组明显高于其他治疗组。结论:肝转移癌的早期诊断是提高生存率的关键,手术切除及选择性肝动脉栓塞化疗是改善其预后的选择。

Objective: To study the early diagnosis and treatment of postoperative hepatic metastasis. Methods: Thirty - five cases with postoperative hepatic metastasis from colorectal carcinoma were analyzed retrospectively. Results: All cases were proved by CEA, ultrasound and CT,The 1 and 3 year survival rate of radical hepatic resection in 6 cases were 83. 3% and 66.7 % respectively, higher than patients with other treatment. Conclusion: Early diagnosis is the key to increase survival rate. Resection and selective embolic chemotherapy of hepatic artery are among therapeutic modalities.