大肠癌肝转移的早期诊断和治疗(附89例报告)  

The early diagnosis and treatment of liver metastases from colorectal cancer(report of 89 cases).

作　　者：尹贻碧 聂孟良 贺伟[1] 

机构地区：[1]江苏省沛县人民医院外科,221600

出　　处：《中国实用外科杂志》1999年第10期604-605,共2页Chinese Journal of Practical Surgery

摘　　要：目的　总结和分析大肠癌肝转移的早期诊断与治疗结果。方法　对８９ 例大肠癌肝转移病人通过癌胚抗原、Ｂ 超、门静脉造影下ＣＴ 扫描检查，提出早期诊断措施。对肝转移根治切除２１ 例与肝转移灶未切除４０ 例行放疗、插管化疗、无水酒精瘤体内注射等治疗后进行３ 、５ 年生存率的比较。结果　早期诊断肝转移灶并得到根治性切除的２１ 例３ 、５ 年生存率为６１．９０ ％ 和２８．５７ ％ ，较未行切除术的４０ 例３ 、５ 年生存率１０．８２ ％ 和０ 明显增高。结论　大肠癌肝转移以早期诊断与手术根治性切除肝转移灶治疗效果最好目的　总结和分析大肠癌肝转移的早期诊断与治疗结果。方法　对８９ 例大肠癌肝转移病人通过癌胚抗原、Ｂ 超、门静脉造影下ＣＴ 扫描检查，提出早期诊断措施。对肝转移根治切除２１ 例与肝转移灶未切除４０ 例行放疗、插管化疗、无水酒精瘤体内注射等治疗后进行３ 、５ 年生存率的比较。结果　早期诊断肝转移灶并得到根治性切除的２１ 例３ 、５ 年生存率为６１．９０ ％ 和２８．５７ ％ ，较未行切除术的４０ 例３ 、５ 年生存率１０．８２ ％ 和０ 明显增高。Objective\ To explore the early diagnosis and treatment of the liver metastases from colorectal cancer.Methods\ Eighty nine cases of the liver metastases from colorectal cancer which proved by CEA,B-ultrasonography and CT scan during arterial portography were studied for early diagnosis.The 3 and 5 year survival rates of radical hepatic resection in 21 cases and non-resection,but being performed intubating chemotherapy,radio-therapy and local injection to the entities with absolute alcohol in 40 cases were compared.Results\ After radical hepatic resection,the 3 and 5 year survival rates were 61 90% and 28 57%respectively,higher than non-resection patients which were 10 82% and zero respectively.Conclusion\ Radical hepatic resection is the best remedy for liver metastases from colorectal origin.

关 键 词：大肠肿瘤 肝转移 癌胚抗原 诊断 治疗 

分 类 号：R735.34[医药卫生—肿瘤] R73-37[医药卫生—临床医学]