直肠类癌36例外科治疗体会  

Surgical treatment of rectal carcinoid:a report of 36 cases

作　　者：雷三林[1] 冯大作[1] 赵华[1] 胡辅珍[1] 齐海智[1] 李铁钢[1] 刘国清[1] 

机构地区：[1]中南大学湘雅二医院普通外科,湖南长沙410011

出　　处：《中国普通外科杂志》2006年第2期129-130,共2页China Journal of General Surgery

摘　　要：目的 探讨直肠类癌外科治疗的合理方法及疗效。方法 回顾性分析36例直肠类癌病例的临床资料。结果 随访（82．6±63．4）个月。小于1cm的20例手术切除后无一复发。1～2cm的9例有3例复发，大于2cm的7例中3例因类癌肝转移死亡。结论 肿瘤直径大小可粗略地判断直肠类癌潜在恶性程度，以TNM分期来决定手术方式简单、实用，值得推荐。Objective To investigate the rational method of treatment of rectal carcinoid and its outcome. Methods The clinical data of 36 cases of rectal careinoid were retrospectively analysed. Results During a follow-up of 82. 6 ＋ / - 63. 4 months, there were no cases with recurrence among the 20 patients with tumor size 〈 1 cm, 3 cases with recurrence in the 9 patients with tumor size between 1 to 2 cm, and there were 3 cases who died from liver metastasis among the 7 patients with tumor size 〉 2 cm . Coclusions Tumor diametar can be used to estimate the degree of malignancy of rectal carcinoid. TNM staging is simpler and practical for deciding the method of surgical treatment.

关 键 词：直肠肿瘤/外科学 类癌瘤/外科学 

分 类 号：R735.37[医药卫生—肿瘤] R730.261[医药卫生—临床医学]