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本文分析125例经过5年随访的大肠癌病例。除再一次肯定了Dukes’分期基本原则的正确性之外,为了适于术中取得分期结果,我们还相应讨论了分期的具体条件,提出了癌是否被根治性切除也应列为分期的原则之一。本组14例未根治切除者,平均生存9.7月,111例根治切除者5年生存率为53.2％。依据我们分期条件,把大肠癌分为四期,5年生存率分别为Ⅰ期92.5％,Ⅱ期53.4％,Ⅲ期29.26％,Ⅳ期0％(p<0.001)。最后我们简述了分期的有利方面,以供讨论。
This article analyzed 125 cases of colorectal cancer after 5 years of follow-up. In addition to affirming the correctness of Dukes’ basic principle of staging again, in order to make it suitable for obtaining staging results during surgery, we also discussed the specific conditions for staging, and proposed that if a cancer is radically resected, it should also be classified as a staging principle. one. The group of 14 patients without radical resection, the average survival of 9.7 months, 111 radical resection of 5-year survival rate was 53.2%. According to our staging conditions, the colorectal cancer was divided into four phases. The 5-year survival rates were 92.5% for phase I, 53.4% for phase II, 29.26% for phase III, and 0% for phase IV (p<0.001). Finally, we outlined the advantages of the staging for discussion.