中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
18期
2476-2478
,共3页
直肠肿瘤%复发%因素分析,统计学
直腸腫瘤%複髮%因素分析,統計學
직장종류%복발%인소분석,통계학
Rectal neoplasms%Recurrence%Factor analysis,statistical
目的 分析直肠癌Dixon术后局部复发相关因素.方法 回顾性分析按全直肠系膜(TME)标准手术治疗的低位直肠癌患者100例的临床资料.结果 100例患者术后骶前复发率10.0%,与大体类型、组织学分型及肠腔、腹腔脱落肿瘤细胞相关,且为影响患者预后的独立因素.无局部复发组90例,5年生存率为76.0%,半数生存期62个月;局部复发组10例,5年生存率为5.0%,半数生存期24个月.结论 低位直肠癌术后局部复发相关影响因素有大体类型、组织学分型及肠腔、腹腔脱落肿瘤细胞,局部复发严重影响患者预后.
目的 分析直腸癌Dixon術後跼部複髮相關因素.方法 迴顧性分析按全直腸繫膜(TME)標準手術治療的低位直腸癌患者100例的臨床資料.結果 100例患者術後骶前複髮率10.0%,與大體類型、組織學分型及腸腔、腹腔脫落腫瘤細胞相關,且為影響患者預後的獨立因素.無跼部複髮組90例,5年生存率為76.0%,半數生存期62箇月;跼部複髮組10例,5年生存率為5.0%,半數生存期24箇月.結論 低位直腸癌術後跼部複髮相關影響因素有大體類型、組織學分型及腸腔、腹腔脫落腫瘤細胞,跼部複髮嚴重影響患者預後.
목적 분석직장암Dixon술후국부복발상관인소.방법 회고성분석안전직장계막(TME)표준수술치료적저위직장암환자100례적림상자료.결과 100례환자술후저전복발솔10.0%,여대체류형、조직학분형급장강、복강탈락종류세포상관,차위영향환자예후적독립인소.무국부복발조90례,5년생존솔위76.0%,반수생존기62개월;국부복발조10례,5년생존솔위5.0%,반수생존기24개월.결론 저위직장암술후국부복발상관영향인소유대체류형、조직학분형급장강、복강탈락종류세포,국부복발엄중영향환자예후.
Objective To analyze the related factors of local recurrence in patients with rectal cancer after Dixon operation. Methods A retrospective analysis of clinical data of 100 patients from September 2005 to September 2007 in our hospital by TME standard surgicai treatment of low rectal cancer was carried out. Results Of 100 patients, the pre-sacral recurrence rate was 10. 0%, with gender, age, tumor size, tunor invasion lumen circumference,depth of invasion,lymph node metastasis and Duke's stage has nothing to do with the gross type,histological type and lumen,peritoneal tumor cell shedding,and as an independent prognostic factor. Of 90 patients without local recurrence,the 5-year survival rate was 76. 0% ,haff of the survival of 62 months;10 cases of local recurrence,5-year survival rate was 5. 0%, half of the survival of 24 months, suggested that local recurrence in patients influenced the prognosis. Conclusion The low local recurrence of rectal cancer related factors were gross type,histological type and the intestine, peritoneal tumor cells shed, seriously affect the prognosis of patients with local recurrence.