9例结直肠平滑肌肉瘤的诊断及治疗  

The Diagnosis And Treatment of nine cases of Colorectal Leiomyosarcoma

作　　者：许俊明[1] 许林[1] 张志明[1] 

机构地区：[1]福建医科大学附属厦门市第一医院肿瘤中心,361003

出　　处：《福建医药杂志》2003年第1期38-40,共3页Fujian Medical Journal

摘　　要：目的　探讨结直肠平滑肉瘤的临床特点、诊断方法、手术治疗要点以及局部复发的因素。方法　对我院 1976年 1月～ 2 0 0 2年 1月间收治的 9例结直肠平滑肌肉瘤患者的临床资料进行回顾性分析。结果　结肠平滑肌肉瘤 2例 ,直肠平滑肌肉瘤 7例。根治性切除 7例 ,姑息性切除 1例 ,局部切除 1例。再次手术 4例 ,三次手术 2例。3年生存率 5 5 .6 % ,5年生存率 2 2 .2 %。结论　提高疗效的关键取决于首次手术的正确性和彻底性。力争早期诊断较小的复发灶是提高 5年生存率的重要因素。局部复发与术式选择密切相关 。Objective To investigate the clinical Characteristics,the method of treatment,the key point of operation and the factor of partial recrudescence of colorectal leiomyosarcoma.Methods 9 cases of clinical material of colorectal leiomyosarcoma treated from January 1976 to January 2002 were retrospectively analyzed.Results In the series,2 cases were colonic leiomyosarcoma,7 were rectal leiomyosarcoma.7 cases were radical resection,1 case appeasable resection,1 case local resection.4 cases were reoperated,2 cases were operated three times.Three year survial was 55 6% and five year survail was 22 2%.Conclusion Curative effect depends on the correctness and entireness of the operation for the first time.Early diagnose is a important factor to increase the survial.Partial recrudescence is closely related with the choice of the operative pattern.The chemotherapy and radiation therapy cann't control the effect of recrudescence.

关 键 词：诊断 治疗 结直肠肿瘤 平滑肌肉瘤 肿瘤复发 

分 类 号：R735.3[医药卫生—肿瘤]