摘要
目的探讨结肠癌术后孤立性复发转移的外科治疗。方法对1996-2005年再手术治疗的58例结肠癌根治术后复发病例进行回顾性分析。应用SPSS11．5对随诊资料进行统计学处理，采用Х^2检验分析其相关因素，采用Kaplan-Meier法进行生存分析，Log-rank检验进行统计学比较。结果再手术中根治性切除率为81％（47／58）。47例行根治性切除患者的中位生存时间为48个月，11例行姑息性切除患者的中位生存时间为12个月，不同手术方式的治疗效果差异有统计学意义（Х^2=12．30，P=0．0005）。结论结肠癌术后复发的再手术切除率高，积极的再手术治疗可延长复发患者的生存时间。
Objective To investigate the surgical treatment for patients with isolated recurrence and metastasis of colon cancer after primary curative-intent resection. Methods In this study, 58 cases suffering from postoperative recurrence of colon cancer between the year of 1996-2005 were analyzed retrospectively. Data were analyzed using statistical package for the social sciences （ Release 11.5, SPSS, Inc）. Х^2 analysis was used to determine the related factors, survival analysis was estimated using the Kaplan-Meier method and compared using the log-rank test. Results In this reoperative group radical resection was achieved in 81% （47/58） cases, and palliative operation in 11 cases, with median survival time of 48 months and 12 months respectively （ Х^2 = 12. 30, P = 0. 0005 ）. Conclusion Postoperative isolated recurrence and metastasis of colon cancer usually allows radical resection in most cases with favorable long-time survival.
出处
《中华普通外科杂志》
CSCD
北大核心
2008年第4期245-247,共3页
Chinese Journal of General Surgery
关键词
结肠肿瘤
肿瘤转移
肿瘤复发
外科手术
Colonic neoplasms
Neoplasm metastasis
Neoplasm recurrence
Surgical procedures, operative
