多原发性大肠癌16例临床分析  

Therapeutic Results of Multiple Primary Colorectal Carcinoma：Analysis of 16 Cases

作　　者：刘广 康新年 

机构地区：[1]浙江省绍兴县中心医院肛肠外科,浙江绍兴312030

出　　处：《中国肛肠病杂志》2010年第5期41-42,共2页Chinese Journal of Coloproctology

摘　　要：为探讨多原发性大肠癌的临床发病特点、误诊或漏诊的原因及手术治疗效果，对16例多原发性大肠癌治疗结果进行回顾性分析。结果显示，15例施行根治性切除术，其中4例同时性多发癌患者先后共施行6次手术，11例异时性多发癌患者先后共施行23次手术，漏误诊率高达32%。结果表明，多原发性大肠癌术前、术中误诊或漏诊比例较高，要提高对多原发性大肠癌的警惕性，术前全面检查，术中仔细探查，术后早期复查肠镜，争取早期发现，积极手术治疗，以提高患者生存率。The objective of the study was to get a better understanding pathogenic characteristics and causes of misdiagnosis ＆ missed diagnosis and to improve the therapeutic results of multiple primary colorectal carcinoma. The clinical data of 16 cases were analyzed retrospectively. It is revealed that in the 16 cases, 15 underwent radical surgery,of which 4 cases with synchronous colorectal carcinomas underwent 6 times of operation in all,and the 11 cases with metachronous colorectal carcinomas underwent 23 times of opera- tion altogether,the rate of missed diagnosis and misdiagnosis was 32%. It is concluded that comprehensive preoperative examination, thorough intraoperative exploreation, and early and regular postoperative enteroscopy,early discovery,early operation are of crucial importance in enhancing the survival rate.

关 键 词：多原发性大肠癌 手术 临床分析 

分 类 号：R735.34[医药卫生—肿瘤]