目的　总结和分析大肠癌肝转移的早期诊断和外科治疗。方法　对 39例大肠癌肝转移病人通过CEA、彩超CT、MRI等检查 ,提出早期诊断措施 ,实施手术切除 ,并对手术适应证、手术方式及随访进行分析。结果　全组无手术死亡。 5年生存率 9 32 %。结论　早期诊断及手术切除是治疗大肠癌肝转移的有效方法。 Objective To summarize and analyze the early diagnosis and surgical treatment of liver metastasis of colorectal cancer. Methods 39 cases of patients with liver metastasis of colorectal cancer were examined by CEA, color Doppler ultrasonography, MRI and so on. The early diagnosis and surgical resection were proposed. The surgical indications, surgical methods and follow-up were analyzed. Results All patients died without surgery. 5-year survival rate of 9 32%. Conclusion Early diagnosis and surgical resection are effective methods for the treatment of liver metastasis of colorectal cancer.