摘要
目的分析大肠癌(结肠癌和直肠癌)伴肝转移行同期切除影响患者预后的相关因素。方法采用多因素回归分析方法回顾性分析3 7例大肠癌伴肝转移患者行同期切除的临床资料;选取11项相关因素进行分析。结果年龄,门静脉化疗泵内局部化疗,组织学分型,淋巴结转移,肝转移灶位置,大小,数目对患者的生存时间有影响。结论大肠癌伴肝转移行同期切除术中术后行门静脉化疗泵内局部化疗可以改善患者的预后,延长其生存期,并且后者是惟一可控因素。
Objective To analyze the prognostic factors in simultaneous resection of colorectal cancer （colon cancer and rectal cancer ）and synchronous liver metastasis. Methods The prognosis of 37 patients with colorectal cancer and synchronous liver metastasis who received simuhaneous resection were analyzed by multi-factorial logistic regression analysis. Results The age, the portal vein chemotherapy with local chemotherapy pump, histological classification, lymph node metastasis, and the location, size and number of metastatic lesions affected the survival time of the patients. Conclusions Intraoperative and postoperative chemotherapy through portal vein pump can improve prognosis and prolong median survival time in simultaneous resection colorectal cancer and synchronous liver metastasis, and it is an unique controllable factor.
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2010年第4期339-342,共4页
China Journal of General Surgery
关键词
结直肠肿瘤
肝转移
同期切除
预后因素
Colorectal Neoplasms
Liver Metastasis
Simultaneous Resection
Prognostic Factors
