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目的 探讨直肠癌术后局部复发的原因及外科治疗中存在的问题。方法 回顾性分析 38例局部复发性直肠癌病例资料 ,并进行术后随访。结果 38例局部复发性直肠癌有 9例行根治术 ,2 9例行姑息性切除术 ,术后根治组平均生存时间 37个月 ,姑息组 2 1个月。根治组生存期比姑息组显著延长。但 9例病人术后出现了严重并发症 ,如盆腔脓肿、肠梗阻、瘘管等。结论 对直肠癌术后局部复发病人应进行选择性手术治疗。
Objective To investigate the causes of postoperative local recurrence of rectal cancer and the problems in surgical treatment. Methods Retrospective analysis of 38 cases of locally recurrent rectal cancer data and follow-up. Results In 38 cases of locally recurrent rectal cancer, 9 cases underwent radical resection and 29 cases underwent palliative resection. The average survival time of the radical group was 37 months and that of the palliative group was 21 months. The survival of the radical group was significantly longer than that of the palliative group. However, nine patients had serious complications after surgery, such as pelvic abscess, intestinal obstruction, fistula and so on. Conclusion Rectal cancer patients with local recurrence should be treated with selective surgery.