局部复发性大肠癌的再次手术治疗

• 作 者: 金德 李革 刘在文
• 机 构: 延边大学医学院附属医院普通外科!吉林,延吉133000,延边大学医学院附属医院普通外科!吉林,延吉133000,延边大学医学院附属医院普通外科!吉林,延吉133000
• 出 处: 延边大学医学学报
• 发表日期: 2000年02期
• 关键词: 结肠肿瘤 姑息性手术 大肠癌病人 再手术 根治术 生存质量 生存期 存活率 个月 姑息性切除

[目的 ]探讨局部复发性大肠癌再次手术的价值 .[方法 ]对经定期随访发现的局部复发性大肠癌 6 4例进行回顾性分析 .[结果 ]接受再手术的 6 4例大肠癌病人中 31例行根治术 ,33例行姑息性手术 .根治术组和姑息性手术组的中位生存期分别为 34个月 (10～ 87个月 )、10个月 (6～ 2 1个月 ) ,再手术 3,5年存活率分别为 6 1%和 35 % .[结论 ]对于局部复发性大肠癌仍应积极手术 ,有助于延长生存期 ,提高生存质量 .

[Objective] To investigate the value of reoperation for locally recurrent colorectal cancer. [Methods] Sixty-four patients with locally recurrent colorectal cancer were retrospectively analyzed. [Results] Of the 64 patients with reoperation, 31 patients underwent radical operation and 33 patients underwent palliative operation.The median survival time was 34 months (10 to 87 months) and 10 months (6 to 21 months) respectively in the radical operation group and the palliative operation group , Respectively. Survival rates after 3 and 5 years of reoperation were 61% and 35%, respectively. [Conclusion] Surgical treatment of locally recurrent colorectal cancer should be performed actively, which will help prolong survival and improve quality of life.