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目的探讨直肠癌前切除术后局部复发的外科治疗方法。方法回顾性分析我院2000年1月~2005年12月收治的直肠癌前切除术后局部复发病人42例的临床资料。结果经术前综合治疗的13例中,获得治愈性切除者5例,病灶获得切除者8例;治愈性切除后综合治疗的10例中,目前仅有3例复发、转移;行姑息性切除后综合治疗的19例,局部病灶均得到有效的控制。结论对于直肠癌前切除术后局部复发的病例应采用个体化的外科综合治疗方案。积极有效的外科综合治疗可显著延长病人的生存时间,改善症状,提高病人的生存质量。
Objective To investigate the surgical treatment of local recurrence after rectal cancer precancerous surgery. Methods The clinical data of 42 patients with local recurrence after rectal cancer resection in our hospital from January 2000 to December 2005 were retrospectively analyzed. Results Among the 13 patients who underwent preoperative comprehensive treatment, 5 were cured and 8 were removed. Among the 10 patients who underwent curative resection, only 3 had recurrent and metastatic lesions. Palliative resection After the comprehensive treatment of 19 cases of local lesions have been effectively controlled. Conclusion Individualized surgical treatment should be used in cases of local recurrence after rectal cancer resection. Active and effective surgical treatment can significantly extend the patient’s survival time, improve symptoms and improve the quality of life of patients.