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直肠恶性肿瘤术后局部复发是影响5年治愈率的关键,近年报道局部复发率为9.6％～33％,复发后造成会阴部疼痛,排尿障碍,到后期给病人造成极大痛苦。我们于1991年1月～1992年12月对术后复发并明确远处无转移者行再次手术,经骶尾部切除尾骨,骶前切除,术后会阴部顽固性疼痛、排尿困难缓解。同时姑息性切除了复发癌肿,延长了生存期,其中6例病人术后加用微波热放疗,取得了满意效果。
Local recurrence of rectal cancer after surgery is the key to affect the 5-year cure rate. In recent years, the local recurrence rate has been reported to be 9.6% to 33%. After the recurrence, the pain in the perineum is caused and the micturition is disturbed, causing great pain to the patient in the later period. From January 1991 to December 1992, we underwent reoperation for patients who had recurrence after surgery and no distant metastases. The tailbone was resected and the anterior tibial resection was performed. The postoperative perineum had intractable pain and dysuria. At the same time, palliative resection of recurrent cancer was performed, and the survival time was prolonged. Among them, 6 patients received microwave radiation therapy after surgery and achieved satisfactory results.