大肠癌肝转移48例诊治分析

的总结出大肠癌肝转移的诊断特点和治疗方法。方法收集1989年10月至1997年10月48例大肠癌肝转移的临床资料并进行回顾性分析。结果48例合并转移者B超和CT诊断阳性率分别为18.2%和53.3%。对转移灶的治疗行肝转移灶切除10例，无水酒精瘤内注射10例，门静脉插管化疗8例，放射介入治疗8例，放弃治疗12例。结论大肠癌肝转移术前诊断困难，术中B超结合术中仔细探查是诊断大肠癌肝转移的最可靠方法。手术切除是治疗的首选，其次是无水酒精瘤内注射、门静脉插管化疗、放射介入治疗等方法。

EVALUATION OF 48 CASES HEPATIC METASTASES FROM COLORECTAL CARCINOMA

Objective:To explore and sum up diagnostic features and therapy for colorectal carcinoma with hepatic metastasis.Methods:48 cases of colorectal carcinoma with hepatic metastasis treated from Oct.1989 to Oct.1997.Results:The accuracy rates of ultrasound and CT were 18.2%,53.3% respectively.Of the 48 cases,10 cases underwent hepatectomies,10 cases ethanol injected to lives metastatic,8 cases chemotherapy via portal vein synchronously,8 cases intercurrent X-ray,12 cases abandon treatment.Conclusions:Colorectal carcinoma with hepatic metastasis is very difficult to diagnosis before operation,ultrasound and accuracy found on operation were the secure methods for diagnosis of colorectal carcinoma with hepatic metastasis.Hepatectoming is the first way for treating colorectal carcinoma with hepatic metastasis,others way are ethanol inject,chemotherapy via portal vein synchronously,interventional radiotogy,et al.