CAJ | 학술논문

目的分析根治性直肠癌术后局部复发的原因及预后情况. 方法选取2010年1月至2012年1月南乐县人民医院收治的45例直肠癌术后出现局部复发患者,根据病情分别再次采用根治性切除术和姑息性手术治疗,术后随访3年,比较术后生存期. 结果对其中的29例采用根治性切除术进行治疗,14例采用姑息性手术进行治疗,2例未行手术治疗. 随访3 年后,根治性切除术患者生存率为55.2%,姑息性手术患者生存率为28.6%,未手术患者生存率为0,差异有统计学意义( P<0.05). 结论对直肠癌患者初次手术应采取最优手术方案及手术的彻底性,术后按时复查,发现病灶及时行再次根治性切除术进行治疗可明显增加患者的生存期.
목적 분석근치성직장암술후국부복발적원인급예후정황. 방법 선취2010년1월지2012년1월남악현인민의원수치적45례직장암술후출현국부복발환자,근거병정분별재차채용근치성절제술화고식성수술치료,술후수방3년,비교술후생존기. 결과 대기중적29례채용근치성절제술진행치료,14례채용고식성수술진행치료,2례미행수술치료. 수방3 년후,근치성절제술환자생존솔위55.2%,고식성수술환자생존솔위28.6%,미수술환자생존솔위0,차이유통계학의의( P<0.05). 결론 대직장암환자초차수술응채취최우수술방안급수술적철저성,술후안시복사,발현병조급시행재차근치성절제술진행치료가명현증가환자적생존기.
Objective To analyze the causes of local recurrence and prognosis after radical resection of rectal car -cinoma.Methods Forty-five patients with rectal cancer local recurrence appeared from January 2010 to January 2012 were treated, according to the illness respectively by radical resection and palliative surgical treatment , postoperative follow-up of 3 years, the survival of postoperative was compared .Results Twenty-nine cases were treated by radical resection , 14 cases had palliative operation for treatment , 2 patients without operation treatment .After 3 years of follow-up, the survival rate was 55.2%in patients with radical resection , with palliative operation for treatment , the survival rate was 28.6%, the survival rate of the patients without operation was 0, the differences were significant (P<0.05).Conclusions We should thoroughly take optimal operation scheme and operation for the first time in patients with rectal cancer surgery , postoperative timely review , found that the focus in time for radical resection again treatment can significantly increase the survival period .