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目的针对直肠癌术后复发早期诊断,手术治疗并化疗放疗。方法总结1990至2003年本院收治直肠癌术后复发患者36例的临床资料。结果再次手术能切除病变为30例,切除率为83.3%,切除后存活时间6~45个月,中位存活16个月,死亡1例(围术期)。结论诊断依据体检B超、胸片、CT等,发现局部复发,应积极手术治疗并术后化疗、放疗,如不能切除应采用放疗加化疗,对术后复发病例宜积极态度采用综合治疗,以期达到较好的效果。
Objective To early diagnosis of rectal cancer recurrence, surgical treatment and chemotherapy and radiotherapy. Methods The clinical data of 36 patients with postoperative recurrence of rectal cancer in our hospital from 1990 to 2003 were summarized. Results Reoperation was performed in 30 cases. The resection rate was 83.3%, the survival time after resection was 6 to 45 months, the median survival time was 16 months, and 1 patient died (perioperative period). Conclusions The diagnosis should be based on physical examination B ultrasound, chest X-ray, CT, etc., and found that local recurrence should be actively surgical treatment and postoperative chemotherapy, radiotherapy, if not resectable should be treated with radiotherapy and chemotherapy, postoperative recurrence should be positive attitude should adopt comprehensive treatment, Achieve better results.