联合切除治疗晚期大肠癌有关问题探讨  

QUESTIONS ABOUT ADVNCED LARGE INTESTINE CARCINOMA TREATED BY COMBINED RESECTION

作　　者：董新舒[1] 贾云鹤[1] 徐海涛[1] 于志伟[1] 赵鹏[1] 王锡山[1] 

机构地区：[1]哈尔滨医科大学第三临床医学院腹外科,150040

出　　处：《大肠肛门病外科杂志》2002年第1期29-31,共3页Journal of Coloproctological Surgery

摘　　要：目的 :探讨浸润其它器官及局部复发大肠癌联合切除的意义及手术治疗的要点。方法 :回顾分析 1975年 7月至 2 0 0 1年 7月收治的浸润其它器官及局部复发大肠癌的局部浸润情况及合并切除的疗效 ,直接法统计生存率。结果 :1联合切除作1317例结肠癌中属 Dukes D期者 139例 ,占 10 .5 %,行联合切除者 47例 ,占全部病例的 3.6 %,Dukes D期病例的 33.8%;2 6 11例直肠癌中属 Dukes D期者 32 1例占 12 .3%,行联合切除者 12 7例 ,占全部病例的 4.8%,Dukes D期病例的 39.1%。2 47例结肠癌患者联合切除后的 5年生存率为 48.9%。 3直肠癌患者中行全盆腔器切除者 (TPE) 2 7例 ,5年生存率为40 .9%,10 0例联合一部分器官切除术后患者的 5年生存率为 44 .0 %。结论 :对浸润其它器官及局部复发大肠癌患者 ,不论是初发还是复发 ,只要患者全身条件具备 ,应积极采用手术治疗的方法 ,对延长患者的生存期有重要意义。Objective: To investigate the significance and main points of combined resection to cure large intestine which infiltrate other organs and local relapse. Methods: To review the cases large intestine carcinoma that were cured in our hospital form July 1975.9 to 7 2001.July, which infiltrate other organs and caused local relapse; analyze the effects of the combined resection and statistics of the survival rate by direct method. Results: ①1 317 patients with colon cancer recieved combined resection 139 patients blonged to Dukes D(10.5%); 47 patients (3.6% among the total; 33.9% among the Dukes D) were treated with combined resection. Of total 2 611 rectal cancer patients (among the Dukes D 12.3%), 127 patients were treated with combined resection (4.8% among the total; 39.1% among the Dukes D). ②Of all the 1 317 patients, the 5 years survivals of combined resection were 48.9%. ③The 5 years survivals of 27 patients who had been performed with TPE were 40.9%. the 5 years survivals of 100 patients receiving sub-TPE were 44.0%. Conclnsion: For the patients with other organs involved or local recurrence with large intestine cancer, whether they had primary or recurrence, we should perform operation if possible, which could prolong survivals of patients.

关 键 词：晚期大肠癌 联合切除术 治疗 术式 

分 类 号：R735.34[医药卫生—肿瘤]