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目的探讨直肠癌的临床特点和手术方法。方法对我院2005年1月～2006年12月已经确诊的188例直肠癌的临床资料进行回顾性分析。结果188例直肠癌患者,随访156例,其中36例死亡,A期4例,C期12例,D期12例,术后并发症死亡8例。4例术后5月肝转移再行肝叶切除术,切口疝8例。结论Dixon,Miles术主要用于DukesA,B,C期;结肠造口术,姑息性切除术用于D期直肠癌;有肝转移的选择肝叶切除术或肝动脉置管化疗;经肛腺瘤癌变肿瘤切除术适用于早期直肠癌。
Objective To investigate the clinical features and surgical methods of rectal cancer. Methods The clinical data of 188 rectal cancers confirmed in our hospital from January 2005 to December 2006 were retrospectively analyzed. Results A total of 188 patients with rectal cancer were followed up for 156 cases, of which 36 died. There were 4 patients in stage A, 12 in stage C, 12 in stage D and 8 in postoperative complications. 4 cases of liver metastasis in May after liver lobectomy, incisional hernia in 8 cases. Conclusions Dixon and Miles are mainly used in stage Dukes A, B and C. Colostomy and palliative resection for stage D rectal cancer. Hepatectomy or hepatic arterial catheter chemotherapy with liver metastasis. Tumor cancerous tumor resection for early rectal cancer.