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目的 :分析直肠癌术后局部复发的原因、类型及防治对策。方法 :回顾性分析我院近 5年收治的 5 2例直肠癌手术后局部复发病人的临床资料。结果 :3 1例患者复发时间为 4～ 72月 ,平均 2 5 6月。复发部位主要是吻合口、盆腔和手术切口 ,多见于粘液腺癌、印戒细胞癌和DukesC期病人。结论 :局部清除不彻底是直肠癌术后复发的主要原因 ,全直肠系膜切除对降低复发率具有重要的意义。
Objective: To analyze the causes, types and prevention and cure of local recurrence after rectal cancer. Methods: The clinical data of 52 patients with locally recurrent rectal cancer after operation in our hospital in recent 5 years were retrospectively analyzed. Results: The recurrence time of 31 patients was from April to July, with an average of 25.6 months. The main recurrence site anastomosis, pelvic and surgical incision, more common in mucinous adenocarcinoma, signet ring cell carcinoma and DukesC patients. Conclusion: The incomplete local clearance is the main reason of postoperative recurrence of rectal cancer. Total mesorectal excision is of great significance to reduce the recurrence rate.