CAJ | 학술논문

目的对直肠癌根治术后局部复发的相关临床病理因素进行分析探讨.方法随机抽取在2010年1月至2012年5月间我院收治的行根治术的直肠癌临床患者病例78例,对根治术后患者采用病理大切片技术对直肠系膜转移以及环周切缘情况进行检测,并对比分析局部复发阳性者和阴性者的相关病理检测结果.结果经统计得知,局部复发阳性者9例,阳性与阴性者比较,肿瘤直径、浸润深度、分化程度、癌性穿孔、淋巴结转移、脉管侵袭、环周切缘情况以及 Dukes 分期等病理因素之间存在显著差异(P <0.05).结论直肠癌根治术后局部复发与肿瘤直径、浸润深度、分化程度、癌性穿孔、淋巴结转移、脉管侵袭、环周切缘情况以及 Dukes 分期等病理因素有关,值得关注.
목적대직장암근치술후국부복발적상관림상병리인소진행분석탐토.방법수궤추취재2010년1월지2012년5월간아원수치적행근치술적직장암림상환자병례78례,대근치술후환자채용병리대절편기술대직장계막전이이급배주절연정황진행검측,병대비분석국부복발양성자화음성자적상관병리검측결과.결과경통계득지,국부복발양성자9례,양성여음성자비교,종류직경、침윤심도、분화정도、암성천공、림파결전이、맥관침습、배주절연정황이급 Dukes 분기등병리인소지간존재현저차이(P <0.05).결론직장암근치술후국부복발여종류직경、침윤심도、분화정도、암성천공、림파결전이、맥관침습、배주절연정황이급 Dukes 분기등병리인소유관,치득관주.
Objective To colorectal cancer effect a radical cure postoperative local recurrence of relevant clinical and pathological factors are discussed. Methods Randomly in January 2010-2012 5 month were our line of colorectal cancer radical mastectomy clinical cases 78 cases of radical surgery were treated by pathological big slice technology on mesorectum transfer and ring weeks on cutting edge detection, and a comparative analysis of the positive and negative local recurrence of the related pathology test results. Results The statistics that by local recurrence in 9 cases, positive and negative person comparison, tumor diameter, infiltration depth, differentiation degree, cancerous punch, lymph node metastasis, vascular invasion, ring weeks cutting edge condition and Dukes staging pathological factors, such as there was significant difference (P<0.05). Conclusion Colorectal cancer effect a radical cure postoperative local recurrence and tumor diameter, infiltration depth, differentiation degree, cancerous punch, lymph node metastasis, vascular invasion, ring weeks cutting edge condition and Dukes staging and pathologic factors, it is worth attention.