129例结肠癌根治术后复发转移相关因素分析.pdfVIP

·论著· 129例结肠癌根治术后复发转移相关因素分析 曾建洪 彭志明 (湖南省怀化市洪江区中医院外科，湖南．怀化418200) [摘要]【目的】探讨129例结肠癌患者根治术后复发转移的临床相关病理因素。【方法】选择2000年1 月至2006年12月行结肠癌根治术患者129例。对影响其复发转移的相关因素进行分析。【结果】129例结肠 癌术后复发转移率为19．38％。患者术前癌胚抗原(CEA)水平、Dukes’分期、组织分化程度及淋巴结转移与 结肠癌复发转移显著相关(Po．05)，而性别、年龄、术前并发肠梗阻、病理组织类型、浸润深度、术后化疗与 结肠癌复发转移无明显相关(Po．05)。【结论】术前血清CEA水平、Dukes7分期、分化程度及淋巴结转移 是影响结肠癌患者根治术后复发转移的重要因素。 [关键词]结肠肿瘤／外科学，肿瘤转移； 肿瘤复发，局部 oftheRelatedFactorsofRecurrenceandMetastasisin129 of Analysis CasesColonCancerafter RadicalResectionZENG Jian—hong。PENGzhi—ming(DepartmentofSurgery，Hospitalof TCM inHuaihua 418200，China) ofHongJiang‘DistrictCity，Hunan therelated factorsofrecurrenceandmetastasisin129 [AbstractJ[Objective]To explore elinicopathologic with of129 withcolon under- coloncancerafterradicalresection．[Methods]Atotal cancer patients patients radicalresectionfrom toNov．2006wereselected．Therelatedfactorsofrecurrenceandme— going Jan．2000 tastasiswere recurrencerateafterradical was test analyzed．[Results]The operation19．38％．Chi—square showedthat serum differentiationand carcinoembryonic preoperative antigen(CEA)，Dukesstage，histological recurrenceand nodemetastasiswere correlatedwith metastasisofcoloncancer(P0．05)．The lymph closely intestinal ofinvasionand chemo— gender。age。preoperativeobstruction，pathologicaltype，depth postoperative hadnoobviousassociationwiththerecurrenceandmetastasisofcoloncancer(P0．05)．[Conclu- therapy serum and nodemetastasisare factors sion]Pr