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[直肠癌三种术前联合治疗的临床病理研究]

[Clinico-pathological studies on three preoperative combined treatments for rectal cancer].

作者信息

Yoshioka Y, Ichikawa D, Iizuka R, Hagiwara A, Sawai K, Yamaguchi T, Takahashi T

机构信息

First Dept. of Surgery, Kyoto Prefectural University of Medicine.

出版信息

Gan To Kagaku Ryoho. 1995 Sep;22(11):1551-4.

PMID:7574757
Abstract

To prevent postoperative local recurrence of rectal cancer, we treated patients using preoperative hyperthermia (5-6 times), irradiation (total 30 Gy) and 5-fluorouracil suppository (2,000-2,500 mg). The subjects were 31 patients given combined treatments and 28 patients given surgery alone. The results were as follows: 1. Histologically, therapeutic effects were recognized in 80.6% of patients receiving combined treatments. 2. The mean distance from the adventitia to the site of cancer infiltration was 6.54 mm in the combined treatments group and 3.35 mm in the surgery alone group. The difference between the two was significant (p < 0.05). 3. The rate of local recurrence in the combined treatments group was less than that in the surgery alone group. 4. No systemic side effects nor severe complications were observed during hospitalization in the combined treatments group. 5. The survival rate of the combined treatments group was higher than that of the surgery alone group. It was considered that combined preoperative treatments for rectal cancer were beneficial to survival and local control.

摘要

为预防直肠癌术后局部复发,我们对患者采用术前热疗(5 - 6次)、放疗(总量30 Gy)及5 - 氟尿嘧啶栓剂(2000 - 2500 mg)进行治疗。研究对象为31例接受联合治疗的患者和28例仅接受手术治疗的患者。结果如下:1. 组织学检查显示,接受联合治疗的患者中80.6%有治疗效果。2. 联合治疗组从外膜到癌浸润部位的平均距离为6.54 mm,单纯手术组为3.35 mm。两组间差异有统计学意义(p < 0.05)。3. 联合治疗组的局部复发率低于单纯手术组。4. 联合治疗组住院期间未观察到全身副作用及严重并发症。5. 联合治疗组的生存率高于单纯手术组。认为直肠癌术前联合治疗有利于生存及局部控制。

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