论文部分内容阅读
目的探讨超声内镜对直肠癌根治术后早期发现局部复发的诊断价值。方法对2003～2005年间收治的61例直肠癌术后保肛患者进行了2年的严密随访。随访的内容主要为直肠超声内镜(EUS)、肠镜、盆腔CT、大便潜血实验和CEA监测。结果11例患者发现了局部复发,EUS检查结果均支持复发诊断,并且其中2例患者仅EUS为阳性发现,其余检查结果均正常。对这2例患者再次进行了腹会阴根治切除复发肿瘤术,其余9例患者分别接受了Hart-mann’s姑息切除术,放疗、化疗及内科保守治疗。11例复发患者平均存活15个月(7～27个月)。6例患者至今仍存活,这其中包括再次根治性切除复发肿瘤的2例无病生存患者。结论对直肠癌术后局部复发的早期发现EUS是一个十分有价值的检查手段。
Objective To investigate the diagnostic value of endoscopic ultrasonography in the early detection of local recurrence after radical operation of rectal cancer. Methods A total of 61 patients with rectal cancer who underwent anorectal surgery between 2003 and 2005 were followed up for 2 years. Follow-up mainly for the rectal ultrasound endoscopy (EUS), colonoscopy, pelvic CT, fecal occult blood test and CEA monitoring. RESULTS: Local recurrence was found in 11 patients. The EUS findings supported the diagnosis of recurrence, and only 2 of the 2 patients had positive EUS findings and the rest of the tests were normal. The two patients underwent radical resection of the peritoneum recurring tumor surgery, the remaining nine patients were treated with Hartmann’s palliative resection, radiotherapy, chemotherapy and conservative medical treatment. Eleven patients relapsed with an average survival of 15 months (7 to 27 months). Six patients have survived so far, including two disease-free survivors who have undergone radical resection of the recurrent tumor. Conclusion The early detection of local recurrence of rectal cancer after surgery is a very valuable test.