目的 探讨2010年卫生部医政司发布《结直肠癌诊疗规范》以来国内地市级医院直肠癌综合治疗的现状.方法 通过门诊、电话、信函等方式随访2010年1月至2013年12月在我院接受根治性手术治疗的直肠癌患者,调查其接受《结直肠癌诊疗规范》制订的新辅助治疗或术后辅助治疗的状况.结果 直肠癌患者共438例,仅有9例患者接受了术前放疗.随访到的有术后放疗指征(T3-4N0M0或TxN1-2 M0期)患者293例,接受单纯术后放疗18例(6.1％),术后同步放化疗33例(11.3％);242例(82.6％)未接受术后放疗,其中医务人员未履行相应的告知义务为173例,占71.5％.结论 临床医生对综合治疗的理解和认识存在偏差,特别是新辅助治疗的应用还值得探讨和规范.%Objective To investigate the current situation of comprehensive treatment of rectal cancer in municipal hospitals in China after the release of the Standard Practice in Diagnosis and Treatment of Colorectal Cancer by Department of Medical Administration,Ministry of Health in 2010.Methods A follow-up study was performed by clinic,telephone,and mail investigation of patients with rectal cancer who underwent radical resection in our hospital from January 2010 to December 2013 to assess the implementation of neoadjuvant or postoperative radiotherapy according to the Standard Practice in Diagnosis and Treatment of Colorectal Cancer.Results In a total of 438 patients with rectal cancer,only 9 received preoperative radiotherapy.In 293 patients undergoing postoperative radiotherapy (stage T3-4 N0M0 or TxN1-2 M0),18(6.1％) received postoperative-radiotherapy alone and 33 (11.3％) received postoperative concurrent chemoradiotherapy.In 242 patients (82.6％) treated without postoperative radiotherapy,173(71.5％) were poorly informed due to misconduct of the medical staff.Conclusions Clinical physicians do not well understand the comprehensive treatment.Particularly,the application of neoadjuvant treatment needs further studies and standardization.
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