中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2015年
8期
739-742
,共4页
赵光忠%侯利涛%王斌%侯俊光%夏博%焦超%张鹏%王兵%吕鹏辉
趙光忠%侯利濤%王斌%侯俊光%夏博%焦超%張鵬%王兵%呂鵬輝
조광충%후리도%왕빈%후준광%하박%초초%장붕%왕병%려붕휘
胃肠道癌%开放手术%腹壁切口%种植转移
胃腸道癌%開放手術%腹壁切口%種植轉移
위장도암%개방수술%복벽절구%충식전이
Gastrointestinal cancer%Open surgery%Ab-dominal incision%Implantation metastasis
目的 总结胃肠道癌开放手术后腹壁切口种植转移癌的临床特点及其诊断和治疗要点.方法 回顾性分析山东省临朐县人民医院2007年1月至2010年1月21例胃肠道癌开放手术后发生腹壁切口种植转移患者的临床资料.结果 该组21例,占同期胃肠道癌开放手术患者(520例)的4.04％;切口发现转移病灶距首次手术时间3.0～26.0个月,平均9.2个月;再次手术切除切口转移灶13例均存活6个月以上,存活12个月以上10例、18个月以上8例、24个月以上6例、36个月以上2例;未再手术8例,存活时间均未超过18个月.结论 注重手术切口的保护并不断完善无瘤操作技术可降低切口种植转移发生率;术后加强随访,对切口转移病灶做到早发现、早诊断、早治疗,并针对具体患者采取个体化治疗方案,有望延长该类患者的生存期.
目的 總結胃腸道癌開放手術後腹壁切口種植轉移癌的臨床特點及其診斷和治療要點.方法 迴顧性分析山東省臨朐縣人民醫院2007年1月至2010年1月21例胃腸道癌開放手術後髮生腹壁切口種植轉移患者的臨床資料.結果 該組21例,佔同期胃腸道癌開放手術患者(520例)的4.04％;切口髮現轉移病竈距首次手術時間3.0～26.0箇月,平均9.2箇月;再次手術切除切口轉移竈13例均存活6箇月以上,存活12箇月以上10例、18箇月以上8例、24箇月以上6例、36箇月以上2例;未再手術8例,存活時間均未超過18箇月.結論 註重手術切口的保護併不斷完善無瘤操作技術可降低切口種植轉移髮生率;術後加彊隨訪,對切口轉移病竈做到早髮現、早診斷、早治療,併針對具體患者採取箇體化治療方案,有望延長該類患者的生存期.
목적 총결위장도암개방수술후복벽절구충식전이암적림상특점급기진단화치료요점.방법 회고성분석산동성림구현인민의원2007년1월지2010년1월21례위장도암개방수술후발생복벽절구충식전이환자적림상자료.결과 해조21례,점동기위장도암개방수술환자(520례)적4.04％;절구발현전이병조거수차수술시간3.0～26.0개월,평균9.2개월;재차수술절제절구전이조13례균존활6개월이상,존활12개월이상10례、18개월이상8례、24개월이상6례、36개월이상2례;미재수술8례,존활시간균미초과18개월.결론 주중수술절구적보호병불단완선무류조작기술가강저절구충식전이발생솔;술후가강수방,대절구전이병조주도조발현、조진단、조치료,병침대구체환자채취개체화치료방안,유망연장해류환자적생존기.
Objective To summarize the clinical characteristics,the main points of diagnosis and therapy by implantation metastasis carcinoma of the abdominal incisional after an open operation on gastrointestinal cancer.Methods To retrospectively analyze the clinical data of the 21 patients with implantation metastasis carcinoma of the abdominal incisional after an open operation on gastrointestinal cancer in the People' s Hospital of Linqu from January 2007 to January 2010.Results Twenty-one cases patients in this group accounted to 4.04％ of the 520 cases gastrointestinal cancer patients with open surgery.It was 3.0 to 26.0 months with an average of 9.2 months from the metastasis on the incision to the first operation.Afetr the resection of metastasis on the incision by reoperation,13 cases survived for more than half a year,10 cases survived more than 12 months,8 cases survived more than 18 months,6 cases survived more than 24 months,and 2 cases survived more than 36 months.Eight cases without reoperation,their survival time was less than 18 months.Conclusion Paying attention to the protection of the surgical incision and improving the acancerous techniques constantly can reduce the incidence of incision implantation metastasis.It is expected to prolong the survival time of the patients by strengthening postoperative follow-up visits,detecting,diagnosing and treating the incision metastasis lesions early and taking the individualized treatment plan for specific patients.
