大肠癌肝转移42例的治疗分析

目的为了探讨大肠癌肝转移的手术治疗效果.方法对肝转移根治切除9例与肝转移灶未治疗18例以及非根治切除加插管化疗、酒精注射等治疗的15例生存率进行比较.结果根治切除术9例3年、5年生存率分别为55.50%、22.22%比未治疗的18例3年、5年生存率(11.11%和0)明显提高,也比非根治切除加插管化疗、酒精注射等治疗组生存率(26.67%和6.67%)提高.结论大肠癌肝转移以手术根治切除转移灶治疗效果最好.

Therapeutic analysis on 42 cases of colorectal cancer with hepatic metastases

Objective To observe the effect of surgical resection for hepatic metastases from colorectal cancer.Methods The 3- and 5-year survival rates were compared among 9 cases undergoing eradicative hepatic resection,18 cases receiving no treatment and 15 cases undergoing non-eradicative resection plus intraarterial catheterization and intratumor injection with pure alcohol .Results After eradicative hepatic resection,the 3- and 5-year survival rate was 55.50% and 22.22% respectively,higher than that of non-treatment patients which was 11.11% and 0% respectively,and also higher than that of non-eradicative resection plus adjuvant treatment patients,which was 26.67% and 6.67% respectively.Conclusion Eradicative hepatic resection is the most effective treatment for hepatic metastases from colorectal cancer.