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1991年1月至1993年7月,共计182例大肠癌患者在瑞士圣加仑州立医院外科接受手术治疗。男女之比=1.36:1,平均年龄69.9岁。67.6%的患者有可证实的危险因素,其中以肠息肉为主(54.9%)。平均症状期为4.5个月。主要症状为排便习惯改变(50.5%)和便血(40.1%)。180例患者(98.9%)接受了根治性(77.5%)或姑息性(21.5%)肿瘤切除。79.4%的直肠癌患者均可接受保肛手术。45例(24.7%)患者接受了包括一个或一个以上相邻脏器的扩大根治术。共计87例(47.8%)出现术后并发症,手术死亡率为6%。总的3年生存率为65.1%。
From January 1991 to July 1993, a total of 182 patients with colorectal cancer were surgically treated at the St. Gallen State Hospital in Switzerland. The ratio of men and women = 1.36:1, and the average age is 69.9 years. 67.6% of patients had confirmable risk factors, among which the predominance of intestinal polyps (54.9%). The average symptom period is 4.5 months. The main symptoms were changes in bowel habits (50.5%) and hematochezia (40.1%). 180 patients (98.9%) received radical (77.5%) or palliative (21.5%) tumor resection. 79.4% of patients with rectal cancer were accepted sphincter preservation surgery. Forty-five patients (24.7%) received an extended radical operation that included one or more adjacent organs. A total of 87 (47.8%) patients had postoperative complications and the surgical mortality rate was 6%. The total 3-year survival rate was 65.1%.