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目的:探讨直肠癌术后局部复发再手术的适应证及手术方法。方法:对1998-01-2004-12收治的58例直肠癌根治术后局部复发的患者进行再手术治疗并对其疗效进行回顾性分析。结果:58例患者根治性切除28例(48.27%),姑息性切除20例,剖腹探查或单纯造瘘10例。根治性手术、姑息性手术及未切除患者的5年生存率分别为21.2%、11.1%和0,中位生存期分别为42、19和7个月。结论:对于局部复发性直肠癌积极再手术能有效延长患者的生存期,提高生存率。
Objective: To investigate the indications and surgical methods of reoperation for rectal cancer after local recurrence. Methods: Fifty-eight patients with local recurrence after radical resection of rectal cancer from January 1998 to December 12 were reoperated and the curative effect was retrospectively analyzed. Results: Fifty-eight patients underwent radical resection in 28 cases (48.27%), palliative resection in 20 cases, laparotomy or simple fistula in 10 cases. The 5-year survival rates of radical surgery, palliative surgery and non-resection were 21.2%, 11.1% and 0, respectively. The median survival time was 42, 19 and 7 months respectively. Conclusion: The positive reoperation of locally recurrent rectal cancer can prolong the survival and improve the survival rate of patients.