| 直肠类癌45例临床分析 |
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| 引用本文： | 陈海鹏,王贵玉,刘正,张恒春,张博淼,王锡山. 直肠类癌45例临床分析[J]. 中华普外科手术学杂志(电子版), 2011, 5(3): 312-316. DOI: 10.3877/cma.j.issn.1674-3946.2011.03.061 |
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| 作者姓名： | 陈海鹏 王贵玉 刘正 张恒春 张博淼 王锡山 |
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| 作者单位： | 哈尔滨医科大学第三临床医学院结肠外科,哈尔滨,150081 |
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| 摘 要： | 目的分析直肠类癌的临床特征。方法回顾性分析1994年1月至2009年10月收治的45例直肠类癌患者的诊断方法、治疗方式及生物学特性。结果本组直肠类癌患者：直肠指检＋肠镜＋活检正确诊断率可达97.8%。45例患者中42例得到随访,随访率93.3%,5年生存率93.8%。治疗：肠镜电烧1例,肛门局部切除17例,肛局部扩大切除4例,腹肠壁楔形切除1例,根治性切除术22例。结论直肠类癌症状不典型,临床诊断率低,易误诊;消化内镜为诊断直肠类癌首选方法,结合肛诊可以提高类癌诊断率;手术切除是治疗结直肠类癌的首选方法
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| 关 键 词： | 直肠肿瘤 类癌瘤 诊断 外科手术 肿瘤辅助疗法 |
Clinical characteristics of 45 patients with rectal carcinoid |
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| CHEN Hai-peng,WANG Gui-yu,LIU Zheng,ZHANG Heng-chun,ZHANG Bo-miao,WANG Xi-shan. Clinical characteristics of 45 patients with rectal carcinoid[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Version, 2011, 5(3): 312-316. DOI: 10.3877/cma.j.issn.1674-3946.2011.03.061 |
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| Authors: | CHEN Hai-peng WANG Gui-yu LIU Zheng ZHANG Heng-chun ZHANG Bo-miao WANG Xi-shan |
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| Affiliation: | CHEN Hai-peng,WANG Gui-yu,LIU Zheng,ZHANG Heng-chun,ZHANG Bo-miao,WANG Xi-shan.Department of Colorectal Surgery,Affiliated Tumor Hospital of Harbin Medical University,Harbin 150081,China |
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| Abstract: | Objective This retrospective study was to identify clinical characteristics of patients with rectal carcinoid.Methods In 45 patients with rectal carcinoid treated from January 1994 to October 2009,their diagnosis,treatment and pathological characteristics were reviewed.Results Approximately 97.8% of the patients were diagnosed by digital rectal examination,colonoscopy and biopsy.Of the 45 patients 42(93.3%) were followed up and the 5-year survival rate was 93.8%.Therapy included electrosection via enterosco... |
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| Keywords: | Rectal neoplasms Carcinoid tumor Diagnosis Surgical procedures operative Neoadjuvant therapy |
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