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直肠癌术前经直肠5-Fu辅助化疗对术后复发和转移的临床观察 被引量:17

EFFECT OF PREOPERATIVE INTRARECTAL 5-FU ON POSTOPERATIVE LOCAL RECURRENCE AND METASTASIS OF RECTAL CANCER
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摘要 1981~1988年间曾对100例Dukes B,C和A_3期直肠癌患者进行了术前经直肠腔的5-Fu辅助化疗,每次200mg,平卧保留3小时以上,每日2次,直至术前1天,平均给药22天,总量8.8g,并随机选择同时期、情况基本相同和未进行术前化疗的直肠癌患者100例作为对照组,术后随访2~8年。术前辅助化疗组局部复发率为15%,而对照组为26%,有显著差异(p<0.05)。因此我们认为对Dukes B,C和A_3期直肠癌病人,在放疗设备不够满意的地区和单位,病人在等待住院和术前准备期内应进行经直肠腔的5-Fu辅助化疗,以减少术后局部复发。 Preoperative intrarectal 5-FU adjuvant chemotherapy was employed for 100 DukesB, C and A_8 (Chinese modification) rectal cancer patients between 1981~1988. Another100 rectal cancer patients, treated during the same period without preoperative chemo-therapy, were served as controls. The sex, age, tumor types, Broder's classificationand Dukes' staging in the two groups were comparable. All patients had been followedfor 2~8 years. The rate of local recurrence in the group with intrarectal 5-FU was15%, and that in the control group, 26% (p<0.05). This demonstrates the potentialvalue of preoperative intrarectal 5-FU adjuvant chemotherapy in reducing postopera-tive local recurrence.
出处 《肿瘤》 CAS CSCD 北大核心 1993年第1期1-3,共3页 Tumor
基金 卫生部"六 五"恶性肿瘤重点资助课题
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  • 1Louis M. Rousselot M.D.,Donald R. Cole M.D.,Carlo E. Grossi M.D.,Alexander J. Conte M.D.,Eduardo M. Gonzalez M.D.,Bernard S. Pasternack Ph.D.. Adjuvant chemotherapy with 5-fluorouracil in surgery for colorectal cancer: Eight-year progress report[J] 1972,Diseases of the Colon &amp; Rectum(3):169~174

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