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本文总結天津医科大学附属医院外科过去12年內結腸癌及直腸癌之治疗結果。施行手术中切除率为52.8%。结腸癌切除后5年生存率为37.5%,直腸癌5年生存率为22.2%。治疗結果不佳之主要原因为患者多系晚期病例。为提高疗效,一方面须大力进行卫生宣传教育,使患者早日就診,另一方面須提高早期诊断消灭誤診。文中对誤診原因作了討論。直肠癌患者对腹部永久性人工肛門負担很大,在一些患者成为延迟或拒絕治疗之原因,故在不影响根治的前提下,对早期直腸中段癌应采用保存括約肌手术。
This article summarizes the results of the treatment of colon and rectal cancer in the surgical department of Tianjin Medical University in the past 12 years. The surgical resection rate was 52.8%. The 5-year survival rate after resection of colon cancer was 37.5% and the 5-year survival rate of rectal cancer was 22.2%. The main reason for the poor treatment results is the presence of multiple, late-stage cases in patients. In order to improve the curative effect, on the one hand vigorous publicity and education on hygiene should be carried out to enable patients to seek early treatment and on the other hand, early misdiagnosis should be improved. The reason for misdiagnosis was discussed in the article. Rectal cancer patients on the abdomen permanent artificial anal burden, in some patients as a delay or refusal to treat the reason, so it does not affect the radical premise, the early rectal cancer should be used to save the sphincter preservation surgery.