论文部分内容阅读
目的:探讨直肠癌Miles术后会阴区顽固性疼痛的诊断及治疗。方法:回顾性分析18例实施手术治疗患者的临床资料。结果:手术后疼痛均有所改善,16例疼痛完全消失,随访1年以上无反复;2例6个月后再次出现疼痛,证实为会阴区复发伴远处转移,后死于全身衰竭。本组患者获1～5.5年随访。结论:对直肠癌Miles术后会阴区顽固性疼痛伴肿块形成者,肿块是导致疼痛的主要原因;手术切除病灶可去除疼痛病因,对肿瘤复发所致的疼痛,手术为有效治疗方法;结合局部放疗等术后辅助治疗,可达到消除和减轻疼痛、延长生存期和提高生存质量的目的。
Objective: To investigate the diagnosis and treatment of intractable pain in perineal region after Miles operation of rectal cancer. Methods: A retrospective analysis of 18 cases of surgical treatment of patients with clinical data. Results: The postoperative pain was improved. The pain disappeared completely in 16 cases. No recurrence was found after more than one year follow-up. Pain occurred again in 2 cases after 6 months. It was confirmed as recurrence of perineal area with distant metastasis and death in systemic failure. The patients were 1 to 5. 5 years follow-up. CONCLUSIONS: Miles are the main cause of intractable pain in the perineal region after Miles operation. Mass is the main cause of pain. Surgical removal of the lesion can remove the cause of pain, relieve the pain caused by tumor recurrence, and the operation is an effective treatment. Combined with local Radiotherapy and other postoperative adjuvant therapy, can achieve the purpose of eliminating and relieving pain, prolonging survival and improving quality of life.