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[不可切除直肠癌的冷冻手术]

[Cryosurgery in inoperable rectal cancer].

作者信息

Theiss R, Schmidt K H, Buess G, Junginger T

出版信息

Zentralbl Chir. 1985;110(2-3):142-6.

PMID:2580401
Abstract

26 patients suffering from nonresectable adeno-carcinoma of the rectum have been treated since Sept. 1980. The mean age was 72 years. The temperature of the probe tip was -160 degrees C. A closed system with liquid nitrogen was used. In 12 patients there was an indication of systemic inoperability, 13 had an irremovable tumour or metastases. 1 patient refused curative operation. Cryosurgery was aimed at reducing the mass of rectal tumours and preventing colostomy. Colostomy could also be avoided in 12 of 14 patients suffering from stenosing tumours. The advantages of cryotherapy are outpatient treatment, no anaesthesia and minimal complications. Generally, this method will yield good results in palliative treatment of inoperable rectal carcinomata.

摘要

自1980年9月以来,对26例无法切除的直肠腺癌患者进行了治疗。平均年龄为72岁。探头尖端温度为-160摄氏度。使用了带有液氮的封闭系统。12例患者存在全身不可手术的指征,13例有无法切除的肿瘤或转移灶。1例患者拒绝根治性手术。冷冻手术旨在缩小直肠肿瘤体积并避免结肠造口术。在14例患有狭窄性肿瘤的患者中,有12例也避免了结肠造口术。冷冻疗法的优点是门诊治疗、无需麻醉且并发症极少。一般来说,这种方法在无法手术的直肠癌姑息治疗中会取得良好效果。

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1
[Cryosurgery in inoperable rectal cancer].[不可切除直肠癌的冷冻手术]
Zentralbl Chir. 1985;110(2-3):142-6.
2
[Cryotherapy of rectal tumors in the elderly patient].[老年患者直肠肿瘤的冷冻疗法]
Tijdschr Gerontol Geriatr. 1987 Dec;18(6):313-5.
3
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Dtsch Z Verdau Stoffwechselkr. 1988;48(6):306-14.
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[Results of cryosurgery in the treatment of inoperable tumor stenoses of the anus and rectum].[冷冻手术治疗肛门和直肠无法手术的肿瘤性狭窄的结果]
Zentralbl Chir. 1991;116(5):319-25.
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[Cryotherapy in rectal cancer. A palliative local tumor treatment].[直肠癌的冷冻疗法。一种姑息性局部肿瘤治疗方法]
Chirurg. 1992 May;63(5):421-5.
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Cryosurgery for locally recurrent rectal cancer.局部复发性直肠癌的冷冻手术
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[Local peranal treatment of early rectal cancer].[早期直肠癌的经肛门局部治疗]
Zentralbl Chir. 1985;110(2-3):137-41.
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[15 years' experiences with cryosurgical treatment of rectal cancer].[直肠癌冷冻外科治疗的15年经验]
Zentralbl Chir. 1985;110(2-3):155-8.
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[Palliative cryosurgery in rectal carcinoma].[直肠癌的姑息性冷冻手术]
Ned Tijdschr Geneeskd. 1996 Aug 31;140(35):1766-70.
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Electrocoagulation: an alternative palliative treatment for rectal cancer.电凝术:一种直肠癌的替代性姑息治疗方法。
Tech Coloproctol. 2004 Nov;8 Suppl 1:s76-8. doi: 10.1007/s10151-004-0118-9.