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缓释氟尿嘧啶在腹腔镜直肠癌根治术中的安全性及疗效

李松岩 陈凛 宁宁 许声江 李荣 杜晓辉

军医进修学院学报2011,Vol.32Issue(5):423-425,3.
军医进修学院学报2011,Vol.32Issue(5):423-425,3.DOI:CNKI:11-3275/R.20110303.0821.000

缓释氟尿嘧啶在腹腔镜直肠癌根治术中的安全性及疗效

Safety and curative efficacy of sustained-release fluorourancil during radical laparoscopic surgery of rectal carcinoma: Clinical observations

李松岩 1陈凛 1宁宁 1许声江 1李荣 1杜晓辉1

作者信息

  • 1. 解放军总医院普通外科,北京,100853
  • 折叠

摘要

Abstract

Objective To study the safety and curative effect of sustained-release fluorourancil during laparoscopic rectal carcinoma surgery. Methods One hundred and seventy-two patients with rectal carcinoma who underwent laparoscopic radical surgery in our department from March 2006 to January 2009 were divided into observation group(n=90) and control group(n=82). Patients in observation group received regional chemotherapy with sustained-release fluorourancil under laparoscope. Patients in control group did not receive regional chemotherapy with sustained-release fluorourancil under laparoscope. Their outcomes were retrospectively analyzed. Results No difference was found in liver and kidney functions and white blood cell count between the two groups before and after operation(P>0.05). The local recurrence rate of rectal carcinoma was l.ll%(l/90) and 7.78%(7/90) respectively in observation group, and 8.54%(7/82) and 17.07%(14/82) respectively in control group 1 and 2 years after operation(P<0.05). The liver metastasis rate was 5.55%(5/90) and 17.78%(16/90) respectively in observation group, and 15.85%(13/82) and 26.83%(22/82) respectively in control group 1 and 2 years after operation(P<0.05). Conclusion Sustained-release fluorourancil is effective and safe as a regional chemotherapy agent for rectal carcinoma during laparoscopic radical surgery, and can reduce its local recurrence and liver metastasis.

关键词

腹腔镜/直肠癌/缓释化疗

Key words

Laparoscopes/ Rectal Cancer/ Sustained-Release Chemotherapy

分类

医药卫生

引用本文复制引用

李松岩,陈凛,宁宁,许声江,李荣,杜晓辉..缓释氟尿嘧啶在腹腔镜直肠癌根治术中的安全性及疗效[J].军医进修学院学报,2011,32(5):423-425,3.

基金项目

军队"十一五"科技攻关项目(06G107) (06G107)

北京市科技新星计划课题(2006A51) (2006A51)

军医进修学院学报

OACSTPCD

2095-5227

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