青年人大肠癌46例手术治疗  

Operative Treatment of Colon Cancer of Young Person 46 Cases

作　　者：毛登峰 赵丹东 鞠祥宗 

机构地区：[1]河南省濮阳市中医院外科,濮阳市457003 [2]中原油田总医院,濮阳市457000

出　　处：《医药论坛杂志》2004年第5期25-26,共2页Journal of Medical Forum

摘　　要：目的　探讨青年人大肠癌的临床特点。方法　对我院 1985年 1月～ 2 0 0 0年 1月收治的 4 0岁以下的大肠癌进行回顾性分析。结果　 4 6例全部手术 ,根治性切除 2 4例 (5 2 .17% ) ,姑息性切除 9例 (19.5 7% ) ,单纯结肠造口 13例 (2 8 2 6 % )。 18例于术后 6～ 36个月死亡。 6例在 3年内复发 ,行二次根治术。余 2 2例于术后 36～ 72个月内死亡。结论　青年人大肠癌术前易误诊 ,恶性度高 ,转移早 ,根治率低。早期诊断并按原则行根治术 ,术后配合放、化疗 ,是改善预后的关键措施。Objective To study the clinical characteristics of colon cancer of young person.Methods The material of colon cancer whose ages were less than 40 years old was analyzed retrospectively from Jan.1985 to Jan.2000 in our hospital.Results All the 46 cases were treated by operation.Eradicational excision were performed 24 cases (52.17%), palliative resection to 9 cases (19.57%) ,and colon neostomy to 13 cases(28.26%).As a result, 18 cases died in 6-36 months after the operation. 6 cases recurred in 3 years and were treated by two-stage eradicational excision and other 22 cases died in 36-72 months after the operation .Conclusion Easier misdiagnosis before the operation, higher maliganacy?easier metastasis and lower rate of eradication are characteristics of the colon cancer of young person.Key measures of improving their prognosis are making diagnosis early and performing eradicational excision according to the principles and being treated with radiotherapy and chemotherapy after the operation.

关 键 词：青年人 大肠癌 手术治疗 病例分析 根治性切除 

分 类 号：R735.34[医药卫生—肿瘤]