复发大肠癌诊治分析(附36例报告)  

作　　者：王玮[1] 王平[1] 陈贤贵[1] 杨羽中[1] 李勇[1] 

机构地区：[1]杭州市红十字会医院普外科,310004

出　　处：《浙江临床医学》2006年第2期126-127,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨大肠癌术后复发的病因,诊断和治疗方法。方法回顾性分析1997至2004年36例大肠癌复发的临床资料。结果盆腔、腹腔种植性复发9例,吻合口复发15例,肝脏转移6例,局部复发伴肝转移5例,肺转移1例。手术治疗28例,非手术治疗8例。结论首次手术应根据大肠癌生物学特点,制定合理的以手术为主的综合性治疗方案。预防大肠癌术后复发的重点是首次手术应重视无瘤操作,彻底的淋巴清扫,足够的肠管切除,术后定期随访。对复发大肠癌应积极手术,延长生命,提高生活质量。Objective To investigate the cause, diagnosis and treatment of postoperative recurrent large intestine cancer. Methods The data of 36 recurrent large intestine cancer cases between 1997～2004 were analyzed retrospectively. Results 9 cases of implant recurrence in pelvis and abdomen, 15 cases of stoma recurrence, 6 cases of liver metastasis,5 causes local recurrence with liver metastasis and 1 eases of lung metastasis. Surgical treament were used in 28 eases and non- surgical treatment were used in 8 cases. Conclusion Surgery - based Combined therapy is essential. No - tumor procedure, thorough lymphadenectomy, negative ineisal edge regular follow - up is important, active surgical treatment is effective for recurrent large intestine .

关 键 词：大肠癌 复发癌 再手术 复发大肠癌 诊治分析 非手术治疗 术后复发 首次手术 回顾性分析 吻合口复发 

分 类 号：R735.34[医药卫生—肿瘤] R656.6[医药卫生—临床医学]