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目的探讨结直肠癌肝转移的治疗及预后。方法回顾分析52例患者的临床资料。结果全组无手术死亡病例,术后随访时间1～5年,并发症5例:术后切口感染3例,切口裂开2例;3个月内死亡3例,生存4～6个月2例,6个月～1年8例,1～2年14例,2～3年17例,3年以上8例。结论应提高对结直肠癌肝转的认识和警惕,加强结直肠肿瘤术前术中的肝脏检查;只要没有黄疸、腹水及肝外转移,就应积极进行手术、介入等治疗;只有提高手术探查率,才可提高切除率,即使不能切除,术中亦要对病灶进行直接处理,整体治疗水平才有可能提高。
Objective To investigate the treatment and prognosis of liver metastases from colorectal cancer. Methods The clinical data of 52 patients were retrospectively analyzed. Results There were no surgical deaths in the whole group. The follow-up time ranged from 1 to 5 years and the complications were 5 cases. There were 3 cases with incision infection and 2 cases with incision rupture. 3 cases died within 4 months and survived from 4 to 6 months For example, 6 months to 1 year in 8 cases, 1 to 2 years in 14 cases, 2 to 3 years in 17 cases, more than 3 years in 8 cases. Conclusions The awareness of liver metastasis of colorectal cancer should be increased and the liver examination of colorectal tumor should be strengthened before surgery. As long as there is no jaundice, ascites and extrahepatic metastasis, surgery, intervention and other treatment should be actively carried out. Only by improving surgical exploration Rate, can improve the resection rate, even if not removed, intraoperative have to deal directly with the lesion, the overall level of treatment is likely to increase.