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1980~1990年,作者行直肠癌治愈性切除术共160例,随访4年~14年。术后复发及转移44例(27.5%)。再次手术17例(38.6%)。其中治愈性切除6例(13.6%),姑息性切除5例(11.4%),单纯结肠造瘘6例(13.6%)。全部再手术患者有6例生存超过5年,5年生存率35.3%,未经手术治疗者无1例存活超过5年,两者比较差异非常显著(p<0.005)。即使行姑息手术者,2年生存率(63.6%)也明显高于非手术组(37%,P>0.05)。可见对直肠癌术后复发或转移再次手术不仅可以改善症状,提高生存质量,而且部分患者可获长期生存。
From 1980 to 1990, the author performed a total of 160 cases of curative resection of rectal cancer, followed up for 4 years to 14 years. Postoperative recurrence and metastasis in 44 cases (27.5%). Reoperation in 17 cases (38.6%). Among them, 6 cases (13.6%) were treated with curative resection, 5 cases (11.4%) with palliative resection, and 6 cases (13.6%) with simple colostomy. Six patients in all reoperations survived more than 5 years. The 5-year survival rate was 35.3%. None of the untreated patients survived more than 5 years. There was a significant difference between the two groups (p<0.005). Even with palliative surgery, the 2-year survival rate (63.6%) was significantly higher than the non-surgical group (37%, P>0.05). It can be seen that reoperation for rectal cancer after recurrence or metastasis can not only improve the symptoms and improve the quality of life, but also some patients can achieve long-term survival.