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目的 探讨胃肠道癌术后预防腹腔转移及肝转移的方法。方法 对 132例胃肠道癌切除术后病人随机分成术中腹腔温热灌洗及术后动脉灌注化疗组 69例 (简称治疗组 ) ,单纯静脉化疗组 63例 (简称对照组 ) ,并对其腹腔转移率、肝转移率及 3年生存率进行对照研究。结果 治疗组腹腔转移率 2 0 .9%、肝脏转移率 13.4%、3年生存率 74.6% ,对照组腹腔转移率 43.8%、肝脏转移率 2 9.4%、3年生存率 49.5 %。结论 术中腹腔温热灌洗及术后动脉灌注化疗对胃肠道癌病人术后腹腔转移及肝转移有良好的防治作用
Objective To investigate the method of prevention of peritoneal metastasis and liver metastasis after gastrointestinal cancer surgery. Methods 132 patients with gastrointestinal cancer after resection were randomly divided into intraperitoneal warm lavage and postoperative arterial infusion chemotherapy group of 69 patients (referred to as the treatment group), simple intravenous chemotherapy group of 63 patients (referred to as the control group), and The peritoneal metastasis rate, liver metastasis rate and 3-year survival rate were compared. Results The intraperitoneal metastasis rate was 20.9%, the liver metastasis rate was 13.4%, the 3-year survival rate was 74.6%, and the control group was 43.8%. The liver metastasis rate was 29.4% and the 3-year survival rate was 49.5%. Conclusion Intraperitoneal warm lavage and postoperative arterial infusion chemotherapy have good preventive and therapeutic effects on postoperative abdominal metastasis and liver metastasis of patients with gastrointestinal cancer