中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (04): 260-264.

• 专家论坛 • 上一篇    下一篇

结直肠癌综合治疗的规范化实施

王锡山   

  1. 哈尔滨医科大学附属肿瘤医院结直肠外科,黑龙江哈尔滨150080
  • 出版日期:2010-04-01 发布日期:2010-04-06

  • Online:2010-04-01 Published:2010-04-06

摘要:

结直肠癌目前位居全世界常见恶性肿瘤的第3位。我国结直肠癌发病率逐年上升,每年约有40万新发病例,目前在我国消化系统恶性肿瘤中列第2位。近年来多学科综合治疗成为结直肠癌的主要治疗模式,它以循证医学为基础,强调诊疗的规范化及个体化,为病人提供最佳的诊疗效果。目前,我国肿瘤专科仍面临着一些亟待解决的问题,需要一套强有力的规范化制度。应该依据病人的具体情况、癌肿特点、病理及生物学特性,根据病人经济情况有计划、合理的应用现有治疗手段,制定出一套符合我国病人人群特点的整体规范化治疗方案,以期提高治愈率和病人的生活质量。

关键词: 结直肠癌, 多学科综合治疗, 规范化治疗

Abstract:

Standardization practice of multi-disciplinary comprehensive treatment for colorectal cancer        WANG Xi-shan. Department of Colorectal Surgery, the Tumour Hospital of Harbin Medical University, Harbin150080, China
Abstract    Colorectal cancer(CRC) ranks the third place of common cancer diseases in the world. In China, CRC incidence rate is increasing year after year with about 400 000 new patients every year. So far, CRC is on the second place of the digestive system tumor diseases in China. Multi-disciplinary comprehensive treatment has become the main treatment modalities of CRC. It is the science of evidence-based medicine and emphasized standardization and individualized treatment. It is providing the best clinical treatment to patients. At present, Chinese oncosurgery still faces a number of specialist problems,which should be solved urgently, need a strict rules-based system. The system should be based on the patients’specific circumstances,such as cancer characteristics, pathological and biological characteristics, and also must take into account the economic situation of patients with a planned and rational application of existing treatment. It should be developed a set of guidelines of Chinese patients with the overall standardization of treatment programs and a view to improve the cure rate and patient quality of life.

Key words: colorectal cancer, comprehensive treatment, standardization of treatment