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目的 探讨结直肠平滑肉瘤的临床特点、诊断方法、手术治疗要点以及局部复发的因素。方法 对我院 1976年 1月～ 2 0 0 2年 1月间收治的 9例结直肠平滑肌肉瘤患者的临床资料进行回顾性分析。结果 结肠平滑肌肉瘤 2例 ,直肠平滑肌肉瘤 7例。根治性切除 7例 ,姑息性切除 1例 ,局部切除 1例。再次手术 4例 ,三次手术 2例。3年生存率 5 5 .6 % ,5年生存率 2 2 .2 %。结论 提高疗效的关键取决于首次手术的正确性和彻底性。力争早期诊断较小的复发灶是提高 5年生存率的重要因素。局部复发与术式选择密切相关 ,介入治疗及放疗对控制复发疗效不肯定
Objective To investigate the clinical features, diagnosis, surgical treatment of colorectal smooth sarcoma and the factors of local recurrence. Methods The clinical data of 9 patients with colorectal leiomyosarcoma admitted to our hospital from January 1976 to January 2002 were retrospectively analyzed. Results Two cases of colonic leiomyosarcoma and seven cases of rectal leiomyosarcoma. Radical resection in 7 cases, palliative resection in 1 case, partial resection in 1 case. Reoperation in 4 cases, three cases in 2 cases. The 3-year survival rate was 55.6% and the 5-year survival rate was 22.2%. Conclusion The key to improving the curative effect depends on the correctness and thoroughness of the first operation. Strive to early diagnosis of small recurrence is to improve the 5-year survival rate of an important factor. Local recurrence and surgical options are closely related to interventional therapy and radiotherapy to control the recurrence of efficacy is not sure