CAJ | 학술논문

目的探讨直肠癌Dixon术后局部复发的相关因素.方法对100例直肠癌患者进行Dixon术治疗,术中采用流式细胞仪对肠腔及腹腔冲洗液中的肿瘤细胞进行定性、定量分析,术后随访2年了解局部复发情况.结果 100例患者中有8例在术后2年内发现局部复发.有6例复发部位在吻合口.结论术后局部复发与Dukes分期、肿瘤距肛门距离、肿瘤远切缘长度、肿瘤分化程度、肠腔及腹腔脱落肿瘤细胞数关系密切,值得临床关注.
목적 탐토직장암Dixon술후국부복발적상관인소.방법 대100례직장암환자진행Dixon술치료,술중채용류식세포의대장강급복강충세액중적종류세포진행정성、정량분석,술후수방2년료해국부복발정황.결과 100례환자중유8례재술후2년내발현국부복발.유6례복발부위재문합구.결론 술후국부복발여Dukes분기、종류거항문거리、종류원절연장도、종류분화정도、장강급복강탈락종류세포수관계밀절,치득림상관주.
Objective To explore the related factors of local reccurrence to rectal cancer after Dixon operation. Methods 100 patients with rectal cancer were used Dixon treatment. Then the tumor cells in the intestine and peritoneal fluid were qualitatively and quantitatively analyzed by flow cytometry during operation. The patients were followed up 2 years to understand the local recurrence. Results In 100 patients,8 cases were found in local recurrence after 2 years. 6 cases of recurrence were in the anastomotic site. Conclusion The local recurrence was related to Dukes stage,tumor distance from the anus,much margin of tumor length,tumor differentiation,intestine and abdominal shed close tumor cells,and it was worthy of attention.