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本文报告我院1965年7月～1985年7月收治大肠癌1209例的外科治疗经验。其中结肠癌256例,直肠癌953例。年龄16～87岁。腺癌802例,粘液性癌135例,恶变92例。按Dukes分类:A108,B478,C及D590。手术能切除970例(80.2％),手术病死率6.7％,术后并发症163例。81.3％随访2月～20年,其5年生存率结肠癌与直肠癌分别为52％及80.3％,10年生存率分别为45％及55％。对早期诊断及影响预后的因素进行了讨论,我们认为对原发结直肠癌根治术后辅助化疗,对改善生存率是有价值的。
This article reports on the surgical treatment of 1209 cases of colorectal cancer in our hospital from July 1965 to July 1985. There were 256 cases of colon cancer and 953 cases of rectal cancer. Age 16 to 87 years old. There were 802 cases of adenocarcinoma, 135 cases of mucinous carcinoma, and 92 cases of malignant transformation. Classified by Dukes: A108, B478, C and D590. Surgery can remove 970 cases (80.2%), surgical mortality rate of 6.7%, postoperative complications in 163 cases. 81.3% follow-up from 2 months to 20 years, the 5-year survival rate of colon cancer and rectal cancer were 52% and 80.3%, 10-year survival rates were 45% and 55%. Early diagnosis and factors influencing the prognosis were discussed. We believe that adjuvant chemotherapy after radical resection of primary colorectal cancer is valuable for improving survival.