论文部分内容阅读
目的 探讨直肠癌手术方式的选择。方法 对我院1984～1993年行手术切除治疗直肠癌860例作一回顾性分析。结果 全组中施行Dixon术510例,Miles术325例,局部切除术25例。Dixon术后局部复发率为11.8％,五年生存率为50.8％,Miles术则分别为11.1％、56.3％。1990年后与1990年前相比,两种术式术后局部复发率均下降,五年生存率显著提高。结论 直肠癌术式选择应严格按肿瘤病理分期、细胞学类型、远切缘距离和肿瘤大小来进行,正确选择术式及术中腹腔热灌注化疗有助于改善病人生活质量,降低术后局部复发率,提高五年生存率。
Objective To explore the choice of surgical methods for rectal cancer. Methods A retrospective analysis of 860 cases of rectal cancer was performed in our hospital from 1984 to 1993. Results In the whole group, 510 patients underwent Dixon, 388 Miles and 25 under local resection. The local recurrence rate after Dixon was 11.8%, and the five-year survival rate was 50.8%. The Miles operation was 11.1% and 56.3%, respectively. After 1990, compared with before 1990, the rate of local recurrence after surgery was decreased, and the five-year survival rate was significantly increased. Conclusions The choice of operation for rectal cancer should be strictly according to the pathological stage of the tumor, the type of cytology, the distance of the distal margin, and the size of the tumor. Proper selection of surgical procedures and intraoperative intraperitoneal hyperthermic perfusion chemotherapy can improve the patient’s quality of life and reduce postoperative locality. The recurrence rate increases the five-year survival rate.