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目的探讨青年大肠癌的临床特点及诊治。方法回顾性分析本院自2006年1月至2008年1月收治的青年大肠癌患者。结果65例均行手术,其中根治切除42例,分别为Miles术式31例,Dixon术式11例。结肠癌根治术14例,分别为乙状结肠癌根治术8例,左半结肠切除术3例,横结肠癌切除1例,右半结肠癌根治术2例。姑息性切除9例,本组获随访60例,根治组5年生存23例。姑息性切除及探查造瘘术式均于手术后半年内死亡。结论提高青年人大肠癌生存率的关键在于及早诊断,尽量行根治手术。只有早期发现、早期诊断、及时合理的治疗,才能提高疗效。
Objective To investigate the clinical features and diagnosis and treatment of young colorectal cancer. Methods A retrospective analysis of our hospital from January 2006 to January 2008 admitted young patients with colorectal cancer. Results All 65 cases underwent radical resection, including 42 cases underwent radical resection, which were 31 cases in Miles procedure and 11 cases in Dixon procedure. Radical colon cancer in 14 cases, respectively, for the radical mastectomy in 8 cases, 3 cases of left colon resection, transverse colon resection in 1 case, right colon resection in 2 cases. Palliative resection in 9 cases, 60 cases were followed up in this group, the radical group of 5-year survival in 23 cases. Palliative resection and exploration fistula surgery were within six months after surgery died. Conclusion The key to improve the survival rate of colorectal cancer in young people lies in the early diagnosis, as far as possible radical surgery. Only early detection, early diagnosis, timely and reasonable treatment, can improve the curative effect.