直肠癌全直肠系膜切除术后局部复发的临床观察

Local Recurrence After Total Mesorectal Excision for Treatment Of Rectal Cancer

目的 探讨全直肠系膜切除 (TME)在预防直肠癌根治术后局部复发的临床效果。方法 采用Heald提出的全直肠系膜切除治疗直肠癌患者 69例并随访患者的局部复发率。结果 69例均随访 5年以上 ,5年间共有 9例局部复发 ,复发率为 1 3 % ( 9/ 69) ,局部复发与肿瘤病理性质和Dukes分期有明显关系。TME直肠癌根治术后 5年局部复发率明显低于普通术式。结论 TME是预防直肠癌术后局部复发的有效措施。

Objective To evaluate the effect of radical protectomy with TME for the treatment of rectal carcinoma in the prevention of postoperative local recurrence. Method 69 patients were treated by total mesorectal excision for rectal cancer and were followed for local recurrence. Results Local recurrence developed in 9 cases during 5 years followed-up with recurrence rate of 13 percent (9/69).Tumor malignancy and Dukes grade were in direct proportion with the recurrence. Conclusion Radical proctectomy with TME might be superior to that without TME in local recurrence rate for the treatment of rectal carcinoma.