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目的探讨手术治疗回盲部肿瘤的临床疗效。方法本组21例回盲部肿瘤患者行肿瘤根治术16例,肿瘤姑息性切除术5例,术中、术后辅以化疗等综合治疗。结果本组术后均痊愈出院。术后切口感染1例,无腹腔感染及吻合口瘘发生。结论为了早期及时发现回盲部肿瘤,应详细询问病史、仔细体格检查,进行必要的辅助检查,从而提高诊断正确率,减少误诊、漏诊率。肿瘤根治术和肿瘤姑息性切除术是比较安全的手术方式。手术后进行局部化疗,可明显延长患者的生存期,降低肿瘤复发率。
Objective To investigate the clinical efficacy of surgical treatment of ileocecal tumors. Methods Twenty-one patients with ileocecal tumor underwent radical mastectomy in 16 cases, tumor palliative resection in 5 cases, intraoperative and postoperative combined with chemotherapy and other comprehensive treatment. Results This group were cured after surgery. Postoperative incision infection in 1 case, no abdominal infection and anastomotic leakage occurred. Conclusions In order to detect the ileocecal tumor in time, it is necessary to ask about the medical history, carefully check the physical examination and make the necessary auxiliary examination to improve the diagnostic accuracy and reduce the misdiagnosis and misdiagnosis rate. Tumor radical tumor resection and palliative resection is a safer surgical approach. Local chemotherapy after surgery can significantly prolong the survival of patients and reduce tumor recurrence rate.