论文部分内容阅读
目的探讨结直肠癌腹膜转移的诊断与治疗方法。方法对国内外关于结直肠癌腹膜转移的诊断与治疗的方式方法的文献进行综述并予以分析。结果结直肠癌腹膜转移的诊断方法不断更新,主要包括血液学、免疫学及影像学方法。治疗主要分为预防性治疗和姑息手术治疗。预防性治疗多采取灌注化疗或术后系统化疗,对明确诊断为结直肠癌腹膜转移者采取姑息手术原发灶切除或肿瘤细胞减灭术联合热灌注化疗。结论结直肠癌腹膜转移的诊断目前仍无金标准,全面评估、综合治疗能使其治疗效果得到改善。
Objective To investigate the diagnosis and treatment of colorectal cancer peritoneal metastasis. Methods The literatures on the ways and methods of diagnosis and treatment of peritoneal metastasis of colorectal cancer at home and abroad were reviewed and analyzed. Results The diagnosis of peritoneal metastasis of colorectal cancer was continuously updated, mainly including hematology, immunology and imaging methods. Treatment is divided into preventive treatment and palliative surgery. Prophylactic treatment and more to take chemotherapy or postoperative systemic chemotherapy, clear diagnosis of colorectal cancer peritoneal metastasis to take palliative surgery primary tumor resection or cytoreductive surgery combined with hot perfusion chemotherapy. Conclusion The diagnosis of peritoneal metastasis of colorectal cancer is still no gold standard, a comprehensive assessment, comprehensive treatment can make the treatment effect is improved.