直肠癌根治术后局部复发的相关临床病理因素  

Colorectal Cancer Effect a Radical Cure Postoperative Local Recurrence of Relevant Clinical and Pathological Factors

作　　者：赫鹏[1] 郑巍巍[1] 李广俊[1] 贺德栋[1] 张昊[1] 王建国[1] 

机构地区：[1]新乡医学院一附院普外一科,河南新乡453100

出　　处：《中国医药指南》2013年第1期170-172,共3页Guide of China Medicine

摘　　要：目的对直肠癌根治术后局部复发的相关临床病理因素进行分析探讨。方法随机抽取在2010年1月至2012年5月间我院收治的行根治术的直肠癌临床患者病例78例,对根治术后患者采用病理大切片技术对直肠系膜转移以及环周切缘情况进行检测,并对比分析局部复发阳性者和阴性者的相关病理检测结果。结果经统计得知,局部复发阳性者9例,阳性与阴性者比较,肿瘤直径、浸润深度、分化程度、癌性穿孔、淋巴结转移、脉管侵袭、环周切缘情况以及Dukes分期等病理因素之间存在显著差异(P<0.05)。结论直肠癌根治术后局部复发与肿瘤直径、浸润深度、分化程度、癌性穿孔、淋巴结转移、脉管侵袭、环周切缘情况以及Dukes分期等病理因素有关,值得关注。Objective To colorectal cancer effect a radical cure postoperative local recurrence of relevant clinical and pathological factors are discussed.Methods Randomly in January 2010-2012 5 month were our line of colorectal cancer radical mastectomy clinical cases 78 cases of radical surgery were treated by pathological big slice technology on mesorectum transfer and ring weeks on cutting edge detection,and a comparative analysis of the positive and negative local recurrence of the related pathology test results.Results The statistics that by local recurrence in 9 cases,positive and negative person comparison,tumor diameter,infiltration depth,differentiation degree,cancerous punch,lymph node metastasis,vascular invasion,ring weeks cutting edge condition and Dukes staging pathological factors,such as there was significant difference（P0.05）.Conclusion Colorectal cancer effect a radical cure postoperative local recurrence and tumor diameter,infiltration depth,differentiation degree,cancerous punch,lymph node metastasis,vascular invasion,ring weeks cutting edge condition and Dukes staging and pathologic factors,it is worth attention.

关 键 词：直肠癌 根治术 局部复 病理因素 

分 类 号：R735.37[医药卫生—肿瘤]