论文部分内容阅读
目的:探讨直肠癌根治术后复发转移的高危因素。方法:分析昆明医学院第一附属医院481例直肠癌根治术后病例的临床病理资料,分析临床病理因素与术后复发的关系。结果:481例患者中吻合口复发52例,盆腔复发43例,会阴部复发25例,肝转移47例。结论:直肠癌行全系膜切除术(TME)、术中无瘤操作、术前、术后辅助放疗、化疗以便取得更好的疗效。
Objective: To investigate the risk factors of recurrence and metastasis after radical resection of rectal cancer. Methods: The clinical and pathological data of 481 cases of rectal cancer after radical operation in the First Affiliated Hospital of Kunming Medical College were analyzed, and the relationship between clinical and pathological factors and postoperative recurrence was analyzed. Results: Of the 481 patients, 52 were anastomotic recurrences, 43 were pelvic recurrences, 25 were peritoneal recurrences, and 47 were liver metastases. Conclusions: Total mesorectal excision (TME) of rectal cancer, tumor-free operation, preoperative and postoperative adjuvant radiotherapy and chemotherapy in order to achieve better curative effect.