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直肠癌术后局部复发的外科治疗 被引量:2

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摘要 直肠癌术后局部复发依然是影响和制约直肠癌患者预后的重要因素,也是胃肠外科关注的重点与难点。直肠癌根治性切除术后局部复发率为4%~40%^[1-3]。多发生在术后2年以内,绝大多数复发时间在术后8—22个月^[4,5]。局部复发一部分是吻合口肠腔内复发,多数为肠腔外复发而浸润吻合口,多侵及盆内软组织及邻近脏器或结构。临床上有25%~50%的直肠癌局部复发灶较为局限,有39%~84%的局部复发肿瘤在诊断时已侵及盆腔脏器。
作者 李世拥 于波
出处 《中华胃肠外科杂志》 CAS 2008年第3期206-207,共2页 Chinese Journal of Gastrointestinal Surgery
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