摘要
［目的］探讨影响横结肠癌诊治和预后的因素。［方法］回顾分析３９例横结肠癌的临床表现及治疗结果。［结果］横结肠癌易误诊、预后差。本组术前诊断正确率为４６．３％，５年生存率２９．６％。扩大手术切除范围和腹腔内化疗能改善预后。［结论］横结肠癌极易误诊和被不适当治疗。早期诊断、合理手术及术后早期腹腔内化疗是提高生存率的关键。
Purpose]To explore the factors influence diagnosis,treatment and prognosis for transverse colonic carcinoma.[Methods]Clinical features and treatment results of transverse colonic carcinoma in 39 cases were analysed retrospectively.[Results]Tweleve were incorrectly diagnosed.The rate of correct preoperative diagnosis was 46.3%.The prognosis of transverse colonic cancer patients was poor.The overall 5-year survival rate was 29.6%.[Conclusion]Transverse colonic carcinoma is an uncommon neoplasm. Its prognosis is poor because of preoperative misdiagnosis and unsuitable treatment.Early detection, proper operation and early postoperative intraperitoneal chemotherapy are the keys to improve prognosis.
关键词
横结肠
结肠肿瘤
诊断
预后
Transverse colon Colonic neoplasms Diagnosis Prognosis
