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梗阻性结直肠癌的治疗体会

The treatment of the obstructive colorectal cancer
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摘要 目的探讨梗阻性结直肠癌的治疗方法。方法回顾性分析2005年至2010年收治的77例结直肠癌致急性肠梗阻患者的病例资料。结果 Duke B期10例、C期48例、D期19例,I期切除吻合60例,其中根治性切除45例、姑息切除15例,近端肠造瘘术5例、肠短路术4例、金属支架8例,5年生存率为35.1%。结论结直肠癌致急性肠梗阻患者的治疗方案及术中决策需在疗效、预后、生存质量三者间取得平衡。 Objective To discuss the treatment of the obstructive colorectal cancer. Methods The clinical data of 77 patients with the obstructive colorectal from 2005 to 2010 were retrospectively analyzed. Re- sults Duke B 10 cases, Duke C 48 cases, Duke D 19 cases, 60 cases were excised at I stage(radical excision 45 cases, palliation excision 15 cases), intestines fistulation 5 cases, short-circuit 5 cases, metal rack 8 cases. The patient survival rate at 5 years was 35. 1%. Conclusion Treatment protocols and intraoperative decision making of the obstructive coloreetal cancer need find the balance at therapeutic effect, prognosis and living qual- ity.
作者 郑岩
出处 《中国现代药物应用》 2012年第9期19-20,共2页 Chinese Journal of Modern Drug Application
关键词 结直肠癌 肠梗阻 Colorectal cancer Intestinal obstruction
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参考文献5

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