本文探讨了31例乳癌术后局部复发患者的治疗方法。行局部广泛切除12例,乳癌根治术5例,局部广泛切除加游离植皮14例。随访31例中,1年内死亡者3例,生存2年11例,生存3年9例,生存5年8例。初步探讨了乳癌术后局部复发的手术治疗,提出了局部复发的特点、机制、手术治疗的原则及意义。作者认为再手术对局部复发的控制优于其它的治疗方法。 This article explored the treatment of 31 patients with local recurrence after breast cancer surgery. Local resection was performed extensively in 12 cases, radical mastectomy in 5 cases, and extensive local resection plus free skin grafting in 14 cases. Of the 31 patients followed up, 3 died within 1 year, 11 survived 2 years, 9 survived 3 years, and 8 survived 5 years. The surgical treatment of local recurrence after breast cancer surgery was preliminarily discussed. The characteristics, mechanism, and principles and significance of surgical resection were presented. The authors believe that reoperation has better control of local recurrence than other treatments.