摘 要：目的：探讨大肠癌手术治疗中防范癌细胞播散、种植的有效措施。方法：回顾性分析1999年至2004年同期国内正式发表的3篇有关大肠癌术前化疗与术后复发再手术治疗的临床资料。结果：大肠癌术后复发2年内占78.05%(64/82)，再次切除其根治性切除率51.25%(41/80)，姑息性切除37.50%(30/80)。术前化疗病理显示：癌细胞均有不同程度的坏死和变性。结论：大肠癌预防术后复发重在术前术中化疗，术中无瘤操作，术后严密随访、早期诊断、以手术为主辅助化疗的综合治疗，对减少癌细胞播散、种植、减少复发转移与提高生存质量有好处。

    关键词： 手术治疗; 大肠肿瘤; 化 疗; 防范癌细胞; 播散种植

    The Clinical Analysis of Avoid Spreading and Planting of the Colon Cancer in Operation Treatment

    SUI Jie, LIU Ji-liang, DUAN Yin

    (The Second People's Hospital of Shenzhen City, Guangdong Shenzhen 518029, China)

    Abstract: Objective: Studying the effective measures to prevent the cells of colon cancer to spread and plant. Method: Reviewed analysis the clinical materials to 3 reports of national published at same period of the colon cancer of neoadjuvant chemotherapy and the second-operation because it is recurred after opration. Result: The recur rate after operation of the colon cancer is 78.05%(64/82) in 2 years; The radical cut rate of the second operation is 51.25%(41/80); The appease cut rate of the second operation is 37.50%(30/80). The pathology of the neo-adjuvant chemotherapy showed that the cancer cells have death and deteriorate in different degree. Conclusion: The key to prevent colon cancer to recur depend on the chemotherapy in the operation and preoperation. The general treatment, such as the non-tumor operation, the exact follow observation after operation, the early diagnosis and the adjuvant chemotherapy is benefit to decrease the cancer cells to spread and plant, to reduce the tumor recur and metastasis. ......