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[目的]探讨直肠癌Dixon术后局部复发的相关因素及治疗措施。[方法]对某院于2007年8月～2009年8月行Dixon手术治疗的直肠癌患者术后局部复发的相关因素进行探讨分析,并采取合理的治疗措施。[结果]病理分期越晚,患者的局部复发率越高(P﹤0.05)。另外,在不同组织类型的患者中,低分化管状腺癌患者和黏液性腺癌的局部复发率明显高于其他患者(P﹤0.05),这表明局部复发与癌肿分化不良密切相关。Miles术患者的1年生存率为85.19,3年生存率为37.04;姑息切除+结肠造口患者的1年生存率为33.33,3年生存率为0.00;行单纯结肠造口或未做手术的患者1年生存率、3年生存率均为0.00。[结论]对于直肠癌Dixon术后局部复发病例进行选择性手术治疗是必要的,可以提高其生存率及生存质量。
[Objective] To investigate the related factors and treatment of local recurrence after Dixon rectal cancer. [Methods] The related factors of local recurrence in patients with rectal cancer treated with Dixon operation in a hospital from August 2007 to August 2009 were explored and analyzed, and reasonable treatment measures were taken. [Results] The later the pathological stage, the higher the local recurrence rate (P <0.05). In addition, in patients with different histological types, the local recurrence rate of patients with poorly differentiated tubular adenocarcinoma and mucinous adenocarcinoma was significantly higher than that of other patients (P <0.05), indicating that local recurrence is closely related to poorly differentiated cancer. The 1-year survival rate was 85.19 for Miles patients and 37.04 for 3-year patients. The 1-year survival rate was 33.3 for palliative resection + colostomy patients and 0.003 for 3-year survival rates. Simple colostomy or non-surgical Patients 1-year survival rate, 3-year survival rate was 0.00. [Conclusion] Selective surgical treatment of rectal cancer patients with local recurrence after Dixon operation is necessary to improve the survival rate and quality of life.