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1966年7月至1986年6月间手术治疗大肠癌160例,绝大多数为中、晚期患者。手术切除140例,切除率87.5%,死亡率1.9%。本组病例术后随访率97.5%,5年生存率56.5%,切除组5年生存率60.8%,稍高于国内的统计资料。 为提高对大肠癌的治疗效果,减少并发症,应特别强调早期诊断中直肠肛门指诊的重要性;改变传统的肠道准备的方法;开展以根治性手术为主的综合治疗,尤其对中晚期病例,除积极切除结肠病灶外,对局限性肝转移病灶亦应争取切除;术前、术后配合放疗,有可能取得较好的疗效。
From July 1966 to June 1986, 160 cases of colorectal cancer were treated surgically. The vast majority of patients were middle- and late-stage patients. 140 cases underwent surgical resection, the resection rate was 87.5%, and the mortality rate was 1.9%. The follow-up rate of this group was 97.5%, the 5-year survival rate was 56.5%, and the 5-year survival rate of the resection group was 60.8%, which was slightly higher than the domestic statistical data. In order to improve the treatment of colorectal cancer and reduce complications, it is important to emphasize the importance of rectal and anal diagnosis in early diagnosis; to change the traditional method of bowel preparation; to carry out comprehensive treatment based on radical surgery, especially in Late cases, in addition to actively remove the colon lesions, the limitations of liver metastases should also strive to remove; preoperative and postoperative combined with radiotherapy, may achieve better results.