直肠癌保肛术后局部复发的外科治疗

Surgical Treatment of Local Recurrence after Anus-preserving Resection for Rectal Carcinoma

为了探讨直肠癌保肛术后局部复发的原因、早期诊断及外科治疗措施．回顾性分析了21例直肠癌保肛术后局部复发的临床资料。本组患者巾行再次根治性手术9例，姑息性手术12例，根治切除率为42．9％。死亡1例，病死率为4．8％。结果表明，对直肠癌保肛术后局部复发患者采用以手术为主的综合治疗措施，可延长患者的生存时间，改善症状，提高患者的生存质量。

The objective of this study was to evaluate the causes of recurrence and improve early diagnosis and surgical treatment of anus-preserving for rectal carcinoma resection. The clinical data of local recurrence in 21 cases with rectal cancer undergone anus-preserving rectal resection were analized retrospectively. Among 21 cases, 9 cases were treated with radical resection, 12 cases with palliative resection, radical resection rate was 42.9%. There was one death,and mortality was rate 4.8%. Results show that active surgical treatment with combined comprehensive management may help prolong patients life span, improve their prognosis and life quality.