摘要
目的:探讨直肠癌术后局部复发的原因、类型和诊治方法。方法:回顾性分析了54例直肠癌术后复发的患者的临床资料。结果:54例中,盆腔及会阴复发36例,吻合口复发16例,阴道壁复发2例。42例(75.0%)术后2年内复发,26例有骶丛神经刺激症状。32例再次手术,22例行非手术治疗。再次手术与非手术组3年生存率分别为48.2%及20.4%,差异有显著性(P<0.05)。结论:直肠癌术后对局部复发者再次手术是首选的治疗方法。
Objective：To study the causes diagnoses and treatment of local recurrence,following radical operation for rectal cancer. Methods：49 cases of rectal cancers with local recurrence after radical operation were retrospectively analyzed. Results： Perineum and pelvic cavity relapses were found in 34 cases, anastomotic replase in 12 cases,vaginal wall relapse in 3 cases. Among them 34 cases （69. 4%）relapsed within 2 years after operation. 24 cases had the symptoms of sacral nerves irration. 31 cases were subjeced to re-operation. 18 cases received non-operational treatment. Three-year survival rate was 48. 2% in reoperation group and 20. 4% in non-operation group. There was significant difference between them（ P 〈0. 05）. Conclusion：The post-operational follow-up for 2-3 years is necessary. To prevent recurrence,rectal cancer operation should obey the principle of total mesorectal excision. The first treatment choice for local relapse is re-operation.
出处
《大肠肛门病外科杂志》
2005年第2期99-101,共3页
Journal of Coloproctological Surgery
关键词
直肠癌
局部复发
手术
Rectal cancer
Local recurrent
Operation
