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作者对77例结肠癌患者的血管神经病变进行了测定,并分析其在预后方面的重要性,试图为 Dukes 分期提供更准确的预后资料。方法结肠癌患者77例均受过手术治疗。手术及尸检标本进行肉眼和显微镜检查。镜检标本采用Broders 法分度及 Dukes 法分期。重点观察血管及神经病变。由外科、胃肠科及肿瘤科随访,记录有关肿瘤转移、复发及死亡等情况。结果 77例中有血管病变者29例(37.6%),癌灶转移26例(33.7%)。在有血管病变的患者中,癌转移率为60%。无血管病变者癌转移率为17%石(P<0.0001)。同期患者中(Dukes B 期和C 期),有血
The authors determined the vascular neuropathy in 77 patients with colon cancer, and analyzed its importance in prognosis, trying to provide more accurate prognosis data for Dukes stage. Methods 77 patients with colon cancer were treated with surgery. Surgical and autopsy specimens were examined visually and microscopically. Microscopic specimens were stratified by Broders method and Dukes method. Focus on vascular and neuropathy. Followed by surgery, gastroenterology and oncology, recording of metastases, recurrences, and deaths. Results Of the 77 cases, 29 (37.6%) had vascular lesions and 26 (33.7%) had focal metastases. In patients with vascular lesions, the cancer metastasis rate was 60%. The rate of cancer metastasis in patients without vascular lesions was 17% (P<0.0001). In the same period (Dukes B and C), there was blood