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目的 对 10 2例转移性肝癌进行临床分析 ,探讨转移的可能原因及防止对策。方法 分析转移性肝癌原发灶来自何脏器 ;术后何时发现肝转移 ;合并慢性肝病和胃病情况 ;家族癌症史情况。结果 2 9.4 %来自胃癌 ,19.6%来自贲门癌 ,来自结肠癌 11.7% ,来自直肠癌 19.6%。术后半年内发现肝转移者 2 2例 ,一年半内者 3 6例 ,二年内者 3 0 % ,即 86%肝转移发生于二年内。并有乙肝者 13 .7% ,并有胃炎或胃溃疡者 2 2 .5 %。结论 胃肠道癌根治术后二年内容易发生肝转移 ,并有肝硬化或慢性胃炎者或有家族中三代癌症史者 ,可能为发生肝转移的高危人群。胃肠道癌根治术后防止肝转移的对策 ,认为术前用中西药限制癌细胞转移 ;术中遵守肿瘤外科手术无瘤技术原则 ,防止播散 ,防止种植 ;术后应用中、西药清除体内可能残存的癌细胞 ,并促进患者免疫功能及生理功能的迅速恢复 ,术后定期复查。
Objective To analyze the clinical data of 102 cases of metastatic liver cancer and discuss the possible causes of the metastasis and the preventive measures. Methods To analyze the primary organs of metastatic liver cancer from any viscera; when liver metastasis was found; when combined with chronic liver disease and stomach disease; and to analyze the history of family history of cancer. Results 2 9.4% from gastric cancer, 19.6% from cardia cancer, 11.7% from colon cancer, and 19.6% from rectal cancer. Within half a year after operation, 22 liver metastases were found, 36 in one and a half years, 30% in two years, or 86% of liver metastases in two years. 13.7% of those with hepatitis B, and 20.2% of those with gastritis or gastric ulcer. Conclusions Gastrointestinal cancer is prone to liver metastasis within two years after radical operation. Patients with cirrhosis or chronic gastritis or family history of three generations of cancer may be at high risk of liver metastasis. Gastrointestinal cancer after radical surgery to prevent liver metastases, that preoperative use of traditional Chinese and Western medicine to limit the transfer of cancer cells; intraoperative compliance with the principle of tumor surgery without tumor technology to prevent the spread of to prevent planting; postoperative application, Western medicine to remove the body Possible residual cancer cells, and promote the rapid recovery of immune function and physiological function of patients, regular review after surgery.