29例局部复发性直肠癌再手术治疗

Surgical treatment of 29 cases of locally recurrent rectal cancer

目的总结直肠癌局部复发的手术治疗经验。方法对29例局部复发性直肠癌患者进行再手术治疗。结果无症状者和有症状者的手术切除率分别为83．3％和35．3％，3年生存率分别为58．3％和29．4％，两者比较差异有统计学意义。另外从复发部位来看，无论是切除率还是生存率均以盆腔复发者最低。结论外科手术是治疗局部复发性直肠癌切实有效的方法，而定期复查、早期诊断又是影响切除率和生存率的最重要因素。

Objective To summarize the experience in surgical resection of locally recurrent rec- tal cancer. Methods Twenty-nine patients with rectal cancer local recurrence were surgically treated. Results The resection rates, 3-year survival rates of asymptomatic and symptomatic patients, were 83.3% and 35.3%, 58.3% and 29.4%, respectively. The differences were statistically significant. With regard to the sites of recurrence, intrapelvic cavity recurrence had the lowest resection rate and sur- vival rate. Conclusions Surgical resection is a practical and effective method for the treatment of rectal cancer local recurrence. Regular follow-up checks and early diagnosis are the most important factors in- fluencing resection rate and survival rate