直肠癌局部切除25例疗效观察  

Clinical Study on 25 Patients With Rectal Cancer Treated By Lo cal Excision.

作　　者：张伟军[1] 李锋[1] 

机构地区：[1]浙江省杭州市萧山区第一人民医院肿瘤科,311201

出　　处：《医学研究杂志》2006年第2期45-46,共2页Journal of Medical Research

摘　　要：目的探讨经肛门局部切除治疗直肠癌的效果。方法对25例直肠癌行经肛门局部切除术（T1期11例，T2期14例），T2期患者术后辅助放疗，随访时间1～10．1年，平均5．1年。结果4例局部复发，2例死于远处转移，5年生存率为92％，T1期100％，T2期86．67％（P〉0．05）；局部复发率为16％，T1期和B期患者分别为9．09％和21．43％（P〉0．05）。结论经肛门局部切除治疗直肠癌适于T1～T2N0M0，组织分化好的肿瘤，术后放疗是控制T2期患者术后局部复发的关键。Objective To evaluate the results of transanal local excision for rectal carcinoma. Methods 25 patients with rectal cancers underwent local excision in our hospital （T1： 11and T2： 14）, all patients of T2 tttmors received adjuant radiation therapy.Mean follow- up time was 5.1 years after local excision. Results Five- year overall survival rate was 92 percent, 100 percent for T1 tumors and 86.67 percent for T2 tumors （ P 〉 0.05） .Five - year local recurrence rate was 16 percent, 9.09 percent for T1 tumors and 21.34 percent for T2 tumors （ P 〉 0.05） .Conclusion Transanal local excision for rectal cancer might only be successfully performed in selected patients （T1～T2N0M0, well moderately - differentiated carcinoma） . Postoperation adjuant radiation therapy is the main paints for T2 patients to controll local recurrence.

关 键 词：直肠癌 局部切除术 放射治疗 

分 类 号：R735.37[医药卫生—肿瘤] R737.9[医药卫生—临床医学]