结直肠癌术后复发再手术治疗的效果及预后分析  被引量:6

Clinical study and prognostic analysis of reoperation treatment for postoperative recurrent colorectal carcinoma

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作  者:陈宁波[1] 张旭 陈仿[1] 曾杰[1] 李伟[1] 胡卫建[1] 

机构地区:[1]四川省人民医院急救中心外科,成都610072 [2]四川省天祥骨科医院

出  处:《中国综合临床》2012年第1期57-59,共3页Clinical Medicine of China

摘  要:目的总结复发性结直肠癌再手术的诊治经验,探讨结直肠癌术后复发的原因、诊断及再手术治疗的方法及预后。方法回顾性分析我院急救中心外科2000—2006年收治的26例结直肠癌根治术后复发患者的临床资料,总结其再手术治疗方法及预后。结果8例为直肠癌术后复发,18例为结肠癌术后复发,全组患者均行再次手术治疗,其中根治性切除14例,姑息性切除12例。术后随访6—36个月,根治性切除术后1、3年生存率分别为92.6%、47.8%,姑息性切除术后1、3年生存率分别为53.5%、0。结论对复发性结直肠癌患者应根据复发部位、临床特征选择以再次手术为主的综合治疗方案,达到根治或姑息性治疗的目的。Objective To summarize the diagnosis and treatment experience of reoperation treatment on recurrent colorectal carcinoma. To explore the cause, diagnosis, surgical treatment and the prognosis of recurrent colorectal cancer after operation. Methods Twenty-six cases of postoperative recurrent colorectal carcinoma who were treated at the surgical department in our eraergency center from 2000 to 2006 were analyzed retrospectively. Surgical treatment and prognosis were SummariZed.Results Rectum carcinoma recurrented in 8 cases after operation, colon -carcinoma recurrented in 18 cases after operation. All cases .were .preoperative treatment, 14 cases were treated with radical excision and 12 cases treated with palliative excision. All Cases were followed up for 6 to 36 months,the 1-year and 5-year survival rate was 92. 6% ,47.8% for radical excision and 53. 5% and 0 for palliative excision. Conclusion For the cases with recurrent colorectal careinoma,reoperation treatment is the best treatment protocols to acquire radical cure or palliative therapy purpose according to recurrent location and clinical feature.

关 键 词:结直肠肿瘤 复发 再手术 

分 类 号:R735.34[医药卫生—肿瘤]

 

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