摘要
目的探讨低位直肠癌局部切除的适应证。方法结合文献分析了中国医学科学院肿瘤医院１９７５年１月至１９９７年８月局部切除治疗低位直肠癌病人３２例。结果２６例做了术后放疗，３例做了术前放疗。５年生存率为（８４４±８３）％（寿命表法）。总局部复发率为１８８％，高分化腺癌复发率１２５％（３／２４），中分化腺癌３７５％（３／８）。Ｔ１期复发率１７９％（５／２８），Ｔ２期复发率２５％（１／４）。结论低位直肠癌局部切除适应证为：肿瘤局限于粘膜下层，病理为高分化腺癌，肿瘤直径≤４ｃｍ。
Objective To explore the indication for local excison of low rectal carcinoma.
Methods Thirty-two patients with low rectal carcinoma were analyzed and literature was
reviewed. Results The patients were treated by way of local excision from January 1975 to
August 1997.Patients who under went postoperative radiotherapy were 26 cases and
preoperative 3 cases.Five-year survival was (84\^48\^3)%(life-table).The rate of local recurrence
was 18\^8%,that of well-differentiated carcinoma was 12\^5%(3/24)and that of moderate was
37\^5%(3/8),that of stage T\-1 was 17\^9%(5/28)and that of stage T\-2 was 25%(1/4). Conclusion
The indication for local excision of low rectal carcinoma include tumor limited to
submucosa-involved,well differentiated and the diamefer no more than 4cm.
出处
《中国实用外科杂志》
CSCD
北大核心
1999年第6期351-352,共2页
Chinese Journal of Practical Surgery
