• 華西醫(yī)科大學(xué)第一附屬醫(yī)院普外科(成都610041);

報告近17年來收治的直腸類癌15例,發(fā)現(xiàn)60%病例曾被誤診為直腸息肉、肉痔或直腸炎等。因癥狀缺乏特異性,醫(yī)生行直腸指檢時警惕本病對早期發(fā)現(xiàn)有重要意義,確診仍需病理檢查。治療上,文獻(xiàn)多據(jù)病變大小確定治療方式。作者根據(jù)本組病例治療的體會,提出應(yīng)根據(jù)病變大小及浸潤深度來確定治療方案,即病變在2cm以內(nèi)者行局部切除;如還有肌層浸潤時應(yīng)加作根治術(shù);病變大于2cm者作根治術(shù)。

引用本文: 雷文章,沈臘梅,王天才. 直腸類癌的診斷與治療. 中國普外基礎(chǔ)與臨床雜志, 1995, 2(2): 94-95. doi: 復(fù)制

版權(quán)信息: ?四川大學(xué)華西醫(yī)院華西期刊社《中國普外基礎(chǔ)與臨床雜志》版權(quán)所有,未經(jīng)授權(quán)不得轉(zhuǎn)載、改編

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  2. 2. Sauven P, Rgidge JA, Quau SH, et al. Anorectal carcinoid tumors. Ann Surg, 1990;211:67.
  3. 3. Burke M, Shepherd N, Mann CV. Carcinoid tumors of the rectum and anus. Br J Surg, 1987;74:358.
  4. 4. Naunheim KS, Kaplan EL, Zeitels J, et al. Rectal carcioid tumors—treatment and prognosis. Surgery, 1983;94:670.
  5. 5. 王寶田,顏南生,陳守經(jīng)等.消化道類癌.中華外科雜志,1985;23(6):360.
  6. 6. 張?zhí)煸?,朱?結(jié)腸直腸類癌的診斷與治療.中國肛腸病雜志,1986;6(1):29.