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目的对结直肠癌发生肝转移的患者的临床特点以及预后进行简要的分析与探讨。方法我院治疗的结直肠癌发生肝转移患者28例,所有患者均于手术治疗前经CT扫描检查发现肝脏内有癌组织的转移。对患者的癌细胞的转移部位、转移病灶数、癌细胞分化程度以及病灶转移治疗方法等方面进行分析。结果治疗后患者的平均存活时间为(14±7.27)个月。患者结直肠癌发生肝转移主要以双叶、多发的高中分析腺癌为主。采用手术加化疗可以有效的延长患者的生存时间。患者发生肝转移的部位、转移的数目、肿瘤的分化程度以及治疗方法对患者的预后产生明显的影响。结论对结直肠癌发生肝转移的患者给予准确的诊断与及时的治疗能够获得相对良好的预后效果,值得在今后的临床诊治过程中对其予以注意。
Objective To analyze and discuss the clinical features and prognosis of patients with liver metastasis of colorectal cancer. Methods Twenty-eight patients with liver metastases from colorectal cancer treated in our hospital were enrolled. All patients were found to have metastasis of liver cancer by CT scan before surgery. Analysis of the metastatic sites of patients with cancer cells, the number of metastatic lesions, the degree of differentiation of cancer cells and the treatment of metastasis. Results The mean survival time of patients after treatment was (14 ± 7.27) months. Patients with colorectal cancer liver metastasis mainly in double leaves, multiple high school analysis of primary adenocarcinoma. Surgical plus chemotherapy can effectively extend the patient’s survival time. The location of liver metastases, the number of metastases, the degree of tumor differentiation, and the method of treatment have a significant impact on the patient’s prognosis. Conclusion Accurate diagnosis and timely treatment of patients with liver metastasis of colorectal cancer can obtain relatively good prognosis, which is worth to pay attention to in the future clinical diagnosis and treatment.