大肠癌手术后肝转移的诊断与治疗  

The Diagnosis and Treatment of Postoperative Hepatic Metastasis from Colorectal Carcinoma

作　　者：张挺[1] 樊健[1] 施巍巍[1] 

机构地区：[1]江苏省启东市人民医院普外科,启东226200

出　　处：《中国临床医学》2002年第6期699-700,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨大肠癌手术后肝转移的诊断与治疗。方法:对35例大肠癌手术后肝转移的诊治效果进行回顾性分析。结果:所有的病例均得到CEA、B超和(或)CT检查证实,其1年和3年生存率在根治性手术切除组明显高于其他治疗组。结论:肝转移癌的早期诊断是提高生存率的关键,手术切除及选择性肝动脉栓塞化疗是改善其预后的选择。Objective: To study the early diagnosis and treatment of postoperative hepatic metastasis. Methods: Thirty - five cases with postoperative hepatic metastasis from colorectal carcinoma were analyzed retrospectively. Results: All cases were proved by CEA, ultrasound and CT,The 1 and 3 year survival rate of radical hepatic resection in 6 cases were 83. 3% and 66.7 % respectively, higher than patients with other treatment. Conclusion: Early diagnosis is the key to increase survival rate. Resection and selective embolic chemotherapy of hepatic artery are among therapeutic modalities.

关 键 词：大肠癌 术后 诊断 治疗 肝肿瘤 转移癌 

分 类 号：R735.7[医药卫生—肿瘤] R735.[医药卫生—临床医学]