经骶尾部切除、肠腔“放疗”治疗老年人直肠癌  

Ascrum tail resection and intestinal cavity radiotherapy for carcinoma of the rectum of the aged people

作　　者：姚明昌[1] 黎杰[1] 彭海峰[1] 

机构地区：[1]肇庆市第一人民医院外科,广东肇庆526021

出　　处：《中国基层医药》2005年第8期1029-1030,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨不能耐受Milles手术的老年人直肠癌患者安全而有效的治疗方法.方法经骶尾部切口或肛门骶尾切口,切除整个病灶,连同部分健康的肠壁或切除含病灶的整段下直肠,部分病例开腹探查或乙状结肠造瘘.术后肠腔内放射治疗,共3 200～4 000 CGY.结果 29例中,无手术死亡,治疗后3个月至3年,死亡4例,3年生存率为86.2%.结论直肠部分切除术后肠腔放疗适合老年人直肠癌治疗.Objective To discuss for a safe and effective treatment for carcinoma of the rectum of the aged people who cannot undergo the Milles operations. Methods Through making an incision of sacrum tail（i, e. sacrum tail of anus） reseced the whole focus of the disease together with some parts of the healthy intestinal-wall or to reseced the whole section of lower Rectum containing the focus of the disease. As for this method, some part of the cases of disease was done with the exploration on it by incising into the abdomen or with inserting a fistula into the colon of shape-B. And after operations,made radiotherapy to the intestinal cavity with 3200CGY to 4000CGY altogether. Results Among the 29 cases of the above treatments,no death happened in the course of operations,only 4 cases of death in between three months and three years after performing the above treatments; And after the above treatments,the survival rate among the above 29 cases for three-years length reached 86.2 %. Conclusion The resection to part of the rectum plus the radiotherapy for intestinal-cavity after operation is suitable for curing the carcinoma of rectum of the aged people.

关 键 词：直肠肿瘤 骶尾部 近距离放射疗法 老年人 直肠癌患者 骶尾部切口 切除术后 治疗方法 放疗 肠腔 

分 类 号：R735.37[医药卫生—肿瘤] R657.110.5[医药卫生—临床医学]