直肠绒毛状腺瘤的外科治疗  

TREATMENT OF VILLIOUS ADENOMAS OF THE RECTUM

作　　者：汪建平[1] 王吉甫[1] 余成仿[1] 

机构地区：[1]中山医科大学附属第一医院胃肠外科,广州510630

出　　处：《大肠肛门病外科杂志》1996年第1期13-16,共4页Journal of Coloproctological Surgery

摘　　要：1979-1994年收入院手术治疗的直肠绒毛状腺瘤及其癌变84例．就该病的临床处理及随访结果进行分析，84例中癌变47例．占56．0％，其中浸润性癌10例，占11．9％。56例行内窥镜下套圈摘除和经肛局部切除，17例局部复发，占30．4％。对各种手术方式进行了探讨。由于直肠绒毛状腺瘤恶变的细胞分化程度相对较好，临床处理上有采取较为温存的手术方式的趋势。The characteristics of villious adenomas of the rectum are their high frequency of local recurrence and maliqnant changes. This paper reports 84 cases of villous adenomas of the rectum operated in our hospital from 1979 to 1994. Of these cases fourty-seven cases showed maliqnant changes, and 10 of these 47 cases were of infiltrating carcinoma in nature.Fif-ty-six patients were treated by diathermy snare and local excision and seventeen of them suf-fered local recurrence.The Surgical operative procedures were discussed.There is a tendency in clinical practise to adopt milder operative procedures because the degree of differentiation of the malignant cells are rather high.

关 键 词：直肠绒毛状腺瘤 临床处理 癌变 手术方式 外科治疗 入院 随访结果 恶变 局部切除 局部复发 

分 类 号：R735.37[医药卫生—肿瘤] R687.3[医药卫生—临床医学]