摘要
目的评价不同手术切除方式对Ⅳ期结直肠癌预后的作用和意义。方法回顾性分析167例Ⅳ期结直肠癌的临床资料,将这167例患者分为两组:95例根治性切除组与72例姑息性切除或仅行造瘘术组。比较两组患者的手术并发症发生率、手术死亡率以及长期生存率。结果根治性切除组手术并发症发生率为15.2%,姑息性切除或仅行造瘘术组手术并发症发生率为27.9%(P<0.05);根治性切除组手术死亡率为3.1%,姑息性切除或仅行造瘘术组死亡率为5.5%(P>0.05);根治性切除的患者术后1、3、5年生存率为85.7%、63.2%、38.4%,姑息性切除术后1、3、5年的生存率分别为67.5%、41.3%、8.6%,仅行造瘘的患者术后1、3、5年的生存率分别为45.3%、0%、0%。结论对于Ⅳ期结直肠癌施行积极的根治性切除手术可改善患者的预后。
Objective To investigate the value of different surgery therapy for the stage Ⅳ colorectal cancer. Methods A retrospective analysis of 167 cases of colorectal cancer Ⅳphase of the clinical data of the 167 cases were divided into two groups ： 95 cases of radical resection group and 72 cases of palliative resection or only line of PEG group. Comparing the two groups of patients with surgical complication rate, surgical mortality and long-term survival. Results Group results of the radical resection surgery complication rate was 15.2%, or only palliative resection surgery bank Group PEG complication rate was 27. 9% （P 〈 0. 05 ） ; radical resection surgery group mortality rate was 3.1%, palliative Resection or only line of PEG group mortality rate was 5.5% （P 〉 0. 05） ; radical resection of the patients after 1,3, 5-year survival rate was 85.7%, 63.2%, 38.4%, after palliative resection 1,3, 5-year surwival rates were 67.5%, 41.3%, 8.6% , the only line of ostomy patients after 1, 3, 5-year survival rates were 45.3% ,0% ,0%. Conclution Stage Ⅳ coloreetal cancer patients adopt an active radieal surgery can improve the prognosis of patients.
出处
《中国实用医药》
2009年第21期20-21,共2页
China Practical Medicine
关键词
结直肠癌
根治性切除
预后
Coloreetal cancer
Radical resection
Prognosis
