摘要
为探讨结直肠癌术后复发的主要原因及诊治方法，回顾性分析1995年1月至2006年6月收治的63例结直肠癌复发患者的临床资料。全组随访58例，随访时间2～60个月。8例非手术治疗，中位生存时间8（2～14）个月。55例手术探查中44例获手术治疗，占手术例数80．0％，术后并发肺炎死亡1例，失访5例按死亡计，手术治疗中位生存时间15（0～60）个月。结果表明，首次手术的肿瘤分期、无瘤操作、患者体质影响是术后复发的主要因素。重视术后随访是早期发现术后癌复发的关键措施。手术应是术后癌复发治疗的首选方法，手术治疗复发结直肠癌可改善患者的生存质量或延长生命。
The objective of the study was to investigate the main causes,diagnosis and treatment of postoperative recurrence of colorectal carcinoma. The clinical data of 63 cases who had had recurrence of colorectal carcinoma and had been admitted to author＇s hospital from Jan, 1995 to June,2006.58 cases were followed up for 2-60 monthes. Of the 63 cases,8 underwent no surgical treatment, and the median survival was 8 monthes（2-14 monthes）; 55 cases underwent exploratory operation, of which 44 cases received surgical treatment（80.0%）,one case died of complicated postoperative pneumonia,5 cases were lost in follow up （calculated as dead cases）, and the median survival was 15 monthes（0-60 monthes）. It is revealed that such factors as tumor staging, non-carcinomatous manipulation and patients＇ constitution at the first surgical treatment are the main ones affecting postoperative recurrence; postoperative follow up is the key element in finding early recurrence ; and surgical treatment is the first option in the treatment of postoperative recurrence of colorectal carcinoma.
出处
《中国肛肠病杂志》
2007年第8期27-30,共4页
Chinese Journal of Coloproctology
关键词
结直肠肿瘤
复发
肿瘤转移
再手术
Colorectal neoplasm
Recurrence
Metastasis
Resurgical operation
