摘要
目的探讨低位直肠癌保肛术后局部复发的原因及有效预防措施。方法回顾性分析1996年12月—2006年12月术后局部复发10例的临床资料。结果吻合口肠腔內复发4例,盆腔复发4例,会阴部复发1例,腹壁切口复发1例。结论预防术后局部复发的措施是遵循全直肠系膜切除(TME)的手术原则,正确合理地选择手术方式,注意术中无瘤操作以及术前辅助放疗化疗,可明显降低术后局部复发率。
Objective To investigate the causes and prevention measure of local recurrence after sphincter preservation operation(SPO) for low rectal carcinoma.Methods The clinical data of 69 patients with low rectal carcinoma undergone SPO from September 1996 to December 2006 were reviewed retrospectively.Results Ten patients(14.5%) had local recurrent after SPO.Anastomosis recurrence occurred in 4 cases,pelvic cavity transplant in 4 cases,perineum recurrence in 1 case and abdominal incision recurrence in 1 case.Conclusion Total mesorectal excision(TME),suitable surgical procedure,no-touch technique and preoperative radiotherapy and chemotherapy can reduce local recurrence rate after SPO for low rectal carcinoma.
出处
《实用心脑肺血管病杂志》
2008年第A04期7-8,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
直肠肿瘤
肿瘤复发
局部
保肛术
预防
Rectal Neoplasms
Neoplasms recurrence,local
Sphincter preservation operation
Prevention
