目的　探讨直肠癌 Dixon术后局部复发原因及治疗。方法　回顾性分析我院近 10年来行 Dixon术 32 0例 ,其中局部复发 48例。结果　直肠癌 Dixon术后局部复发与肿瘤的病理类型、Dukes分期、远切缘距离等因素有关。结论　预防直肠癌 Dixon术后局部复发应严格掌握 Dixon手术适应证和加强术中无瘤操作 ,对已有局部复发病例 ,只要局部和全身条件允许 ,力争再次手术 ,切除病灶 ,延长生存期 ,提高生存质量 Objective To investigate the causes and treatment of local recurrence of Dixon after rectal cancer. Methods Retrospective analysis of 32 cases of Dixon surgery in our hospital in the past 10 years, of which 48 cases of local recurrence. Results The local recurrence of Dixon after rectal cancer was related to the pathological type, Dukes staging, distance of distant incision and so on. Conclusion Prevention of local recurrence after rectal cancer Dixon surgery should be strictly controlled Dixon indications and surgery to enhance tumor-free operation of the local recurrence of cases, as long as local and systemic conditions permit, and strive to re-surgery, removal of lesions, prolong survival and increase Quality of Life