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目的探讨结肠癌术后复发的原因、早期诊断及治疗方法。方法回顾分析2001-01-2010-12收治的结肠癌术后复发再手术21例患者的临床资料。结果首次手术到复发时间为8个月~9 a,平均32个月,吻合口复发14例,局部复发6例,腹壁切口复发1例。根治性切除14例,姑息性切除5例,肠吻合短路手术2例。根治性切除和非根治性切除患者的生存时间分别为22个月和8个月。结论结肠癌术后复发的原因是多方面的,定期随访是早期诊断的关键,应积极手术治疗,以延长生存期。
Objective To investigate the causes of postoperative recurrence of colon cancer, early diagnosis and treatment. Methods The clinical data of 21 patients with recurrent postoperative recurrence of colon cancer admitted to our hospital from January 2001 to October 2010 were retrospectively analyzed. Results The time from first operation to recurrence was 8 months to 9 years (average 32 months). There were 14 cases of anastomotic recurrence, 6 cases of local recurrence and 1 case of recurrent abdominal incision. Radical resection in 14 cases, palliative resection in 5 cases, bowel anastomosis in 2 cases. The survival time of patients who underwent radical resection and non-radical resection were 22 months and 8 months respectively. Conclusion Recurrence of colon cancer after surgery for many reasons, regular follow-up is the key to early diagnosis and should be actively treated to prolong survival.