大肠癌肝转移的治疗及探讨

目的探讨大肠癌术后肝转移同肿瘤的病理、部位、手术方式、有无肝硬化的关系,发现其肝转移的危险因素,以提高大肠癌的诊治水平。方法回顾1995年～2000年146例大肠癌术后36例肝转移的病例,结合文献进行临床分析。结果36例中31例为高分化腺癌,升结肠6例,横结肠3例,乙状结肠8例,肝转移率分别为33.3%、30%、32%,根治手术肝转移率低。结论高分化腺癌、横结肠癌、升结肠癌、乙状结肠癌、姑息性手术是大肠癌术后肝转移的危险因素。

Treatment and Discussion for Hepatic Metastases from Large Bowel Carcinoma

Objective To observe the effect and indication of surgical resection for hepatic metastases from large bowel carcinoma.Method 146 cases of hepatic metastases from large bowel carcinoma were received surgical resection.The operation indications,effect and some advance on this topic to discussed.Results In 36 cases,the hepatic metastases rate were 33.3%,30% and 32% in ascending colon carcinoma,colon transversum carcinoma and colon sigmoideum carcinoma respectively.Conclusion Risk factor of hepatic metastases from large bowel carcinoma is well-differentiated adenocarcinoma,ascending colon carcinoma,colon transversum carcinoma,colon sigmoideum carcinoma and palliative surgery.