直肠癌术后局部复发的病因探讨及外科治疗

Study the local recur of rectum cancer

目的与方法 :本文就我院收治的 169例行外科治疗的直肠癌病人进行了随访及跟踪治疗。结果 :169例中有 3例局部复发 ,占 7.3 %。复发时间在术后 3个月至 50个月不等 ;局部复发与肿瘤的原发癌部位、Dukes分期、肠管切除长度及手术术式有关 ,而与癌肿病理类型无明显相关 ;63例中55例接受了病灶切除术 ,其中 4 6例接受了根治切除 ,病灶切除和根治切除后的五年生存率分别为 2 2 .2 %和 34 .8%。结论 :根治切除术仍是延长直肠癌术后局部复发人生存期限的最有效的手段。

Objective and method:We followed up 169 cases rectum cancer operated.Result:63 cases of 169, which occupied 7.3%,recured locally after operation of 3～50 months.The local recur related with primary position,Dubes stage,the length of rectectomed rectum and the way of operationand no relation with the type of cancer pathology. The survival rate of resection(55 cases) and radiation resection(46 cases)is 22.2% and 34.8%.Conclusion:The best way to long the rectum cancer is radical resection.