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目的探讨同时性多原发大肠癌的临床特点、误诊原因及治疗方法。方法对我院1984年6月~2004年6月收治的23例同时性多原发大肠癌病人的临床资料进行回顾性分析。结果本组全部病人均行手术治疗,9例行直肠癌根治加结肠癌根治切除术,6例行直肠癌扩大根治切除术,4例行全结肠切除术,2例行肿物局部切除加右半结肠切除术,2例行肿物局部切除加左半结肠切除术。随访1~5年,仍健在14例,存活5年以上6例,3年以上11例,最长1例存活14年。结论术前行全结肠纤维结肠镜检查、术中全肠道探查及仔细检查切除的大肠标本是提高同时性多原发大肠癌诊断率的重要手段。通过积极、正确的手术治疗,同时性多原发大肠癌病人仍有较好的预后。
Objective To investigate the clinical features, misdiagnosis and treatment of simultaneous multiple primary colorectal cancer. Methods The clinical data of 23 patients with multiple primary colorectal cancer admitted to our hospital from June 1984 to June 2004 were analyzed retrospectively. Results All the patients underwent surgical treatment in this group. Nine patients underwent radical resection of the colon with radical resection of the colon, six patients underwent extended radical resection of the rectal cancer, four underwent total colon resection and two underwent partial resection plus right Hemi-colon resection, 2 cases of local tumor resection plus left hemilaminectomy. Followed up for 1 to 5 years, still alive in 14 cases, survived for more than 5 years in 6 cases, more than 3 years in 11 cases, up to 1 case survived for 14 years. Conclusion Preoperative colonoscopy colonoscopy, intraoperative enteral exploration and careful examination of resected colorectal specimens is an important means to improve the diagnostic rate of multiple primary colorectal cancer. Through positive and correct surgical treatment, patients with multiple primary colorectal cancer still have a better prognosis.