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本文报道1953～1992年间122例大肠多发性腺瘤手术治疗的远期疗效。其中非家族性多发性腺瘤33例,家族性腺瘤性息肉病89例。全组无手术死亡。115例获得随访(1～36年),随访率94.3%,65%病例的随访时间在5年以上。23例术时伴癌变,另有3例术后出现癌变,总癌变率为21.31%。根据本组手术治疗效果,文中详细讨论了非家族性多发性腺瘤与家族性腺瘤性息肉病的术式选用原则。
This article reports the long-term results of surgical treatment of 122 cases of multiple colorectal adenomas from 1953 to 1992. There were 33 cases of nonfamilial multiple adenomas and 89 cases of familial adenomatous polyposis. There was no operative death in the entire group. 115 cases were followed up (1 to 36 years). The follow-up rate was 94.3%, and 65% of the cases were followed up for more than 5 years. Twenty-three patients had cancerous lesions during operation, and another 3 patients developed cancer after surgery. The total cancer rate was 21.31%. According to the effect of surgical treatment in this group, the principle of surgical selection of non-familial multiple adenomas and familial adenomatous polyposis was discussed in detail.