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目的探讨局部复发性大肠癌复发的高危因素及再手术的方式和价值。方法对我院1993年至2008年大肠癌局部复发再手术22例病例进行回顾性分析。结果接受再手术的22例大肠癌患者中有8例行根治性手术,14例行姑息性手术,2例死于手术后并发症,其余根治性手术组和姑息性手术组的中位生存期分别为32个月(10～87个月)、10个月(6～20个月),再手术3～5年存活率分别为55%和20%。结论对于局部复发性大肠癌积极手术治疗有助于延长生存期,提高生存质量。
Objective To investigate the risk factors for recurrence of locally recurrent colorectal cancer and the ways and values of reoperation. Methods Retrospective analysis was performed on 22 cases of reoperation of colorectal cancer in our hospital from 1993 to 2008. Results Of the 22 patients with rectal cancer who received reoperation, 8 patients underwent radical surgery, 14 patients underwent palliative surgery and 2 died of postoperative complications. The median survival of the remaining radical and palliative surgery groups They were 32 months (10 to 87 months) and 10 months (6 to 20 months), respectively. Survival rates were 55% and 20% after 3 to 5 years of reoperation. Conclusion The positive surgical treatment of locally recurrent colorectal cancer can help prolong survival and improve quality of life.