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目的 :探讨直肠癌术后局部复发的可能因素。方法 :将直肠癌切除术后局部复发 2 8例与无复发30例的临床资料进行对比分析。结果 :直肠癌肿瘤位于腹膜反折以上术后复发 8例 ,腹膜反折以下 2 0例 (P<0 0 5 ) ;Mile’s术后复发 11例 ,Dixon术后复发 17例 (P >0 0 5 ) ;术后正规化疗或放疗与非治疗者比较差异有显著意义 (P <0 0 1)。结论 :直肠癌发生的部位和术后有否正规化疗或放疗是影响其术后局部复发的因素
Objective: To explore the possible causes of local recurrence after rectal cancer surgery. Methods: The clinical data of 28 cases of local recurrence after rectal cancer resection and 30 cases without recurrence were compared. RESULTS: Rectal cancer tumors were located in peritoneal reflex in 8 cases and recurrent peritoneal reflexes in 20 cases (P<0.05); Mile’s recurred in 11 cases and Dixon recurred in 17 cases (P > 00.5). There was a significant difference between regular chemotherapy or radiotherapy and non-treatment (P < 0.01). Conclusion : The location of rectal cancer and whether there is regular chemotherapy or radiotherapy after surgery are the factors affecting the postoperative local recurrence