摘要
目的:探讨结肠癌肝转移的手术治疗效果。方法:回顾性分析82例结肠癌肝转移的临床资料,根据治疗方法分两组,肝切除组43例和未切肝组39例,分析手术效果及生存率。结果:肝转移灶切除组术后1、3年生存率76.5%和39.3%,生存时间4～36个月,中位时间18个月。未切肝组1、3年累积生存率53.3%和18.7%,生存时间2～36个月,中位时间15个月。两组生存率和生存时间有显著性差异(P<0.05)。结论:手术切除结肠癌肝转移的首选治疗措施,可以提高患者的术后生存率。
Objective：To investigate the effect of surgical treatment for liver metastasis from colon cancer. Methods：Clinical datas of 82 patients with liver metastasis from colon cancer were studied retrospectively with regard to surgical methods and survival rates. There were 43 cases who received radical tumor resection. There were 39 cases of non - hepatectomy. Results ：The 1 、3 - year survival rate of the hepatectomy group was 76. 5% and 39. 3%. The 1,3 - year survival rate of the non - hepatectomy group was 53. 3% and 18. 7%. The mesosurvival time was 18 months and 15 months in the hepa-tectomy group and the non - hepatectomy group. The survival rates and the mesosurvival time between the two groups had sig-nificant differences （ P 〈 0. 05 ）. Conclusions ： Hepatectomy is the first choice for liver metastasis from colon cancer and can improve the survival rate of the patients.
