摘要
目的 :总结大肠癌肝转移的治疗经验。方法 :回顾 12 6例大肠癌肝转移患者的临床资料 ,比较分析了肝转移灶切除与综合治疗两组病人的治疗效果。结果 :手术切除组 1,3,5年生存率分别为 81.6 %(31/ 38) ,44 .4%(8/ 18)和 2 0 %(2 /10 ) ,而综合治疗组分别为 44 .3%,2 1.6 %和 5 .8%。结论 :手术中 B超检查对肝转移灶的定位诊断最有价值。对肝转移灶应尽可能手术切除 ,术后辅助化疗等综合治疗 ,可延长患者生存期。
Objective: To discuss the treatment of patients with hepatic metastasers of colorectal carcinoma. Methods: The results of 126 patients with hepatic metastases of colorectal carcinoma were analysed retrospectively.The curative effect of hepatic resection plus hepatic artery infusion therapy was compared with that of conservative therpy. Results: The survival rates for 1,3 and 5years of hepatic resection plus hepatic artery infusion therapy were favorable, 81.6%,44.4%and 20%,respectively,but the overall survival rates for 1,3 and 5 years were 44.3%,21.6% and 5.8% respectively.Conclusion: The B-ultrasound in the operation provides the exact hepatic metastasis.Hepatisc resection provides the best outcome of any form of therapy for the patients with hepatic metastasis.The chemotherapy postoperation improved survival to a certain extent.
出处
《大肠肛门病外科杂志》
2002年第1期11-13,共3页
Journal of Coloproctological Surgery
关键词
肝转移
大肠癌
诊断
外科手术
colorectal cancer
hepatic metastasis
operation
