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直肠癌术后局部复发是常见的临床问题,过去报道的发生率为10～34%。本文通过对1008例直肠癌术后复发情况分析,指出了某些与复发有关的因素。对高危险复发患者,术后辅以放疗和化疗可能会延长患者生命。1008例患者均为作者亲自治疗,随访率99%,其中934例作为分析资料。癌瘤位于直肠上1/3(距肛缘11～18cm)者305例,中1/3(6～11cm)429例,下1/3(距肛缘小于6cm 者)为249例,其余15例未归类。手术方式包括姑息性和根治性两种。切除标本经病理检查,在两侧肠缘均未发现癌细胞。直肠上1/3、中1/3和下1/3三组患者,通过术后病
Local recurrence after rectal cancer is a common clinical problem, and the reported incidence was 10 to 34%. This article analyzed the recurrence of 1008 cases of rectal cancer and pointed out some of the factors related to recurrence. In patients with high risk of relapse, postoperative radiotherapy and chemotherapy may prolong patient life. 1008 patients were treated by the authors themselves. The follow-up rate was 99%, of which 934 were used as analysis data. Cancer was located in 1/3 of the rectum (11 to 18 cm from the anal margin) in 305 cases, in the middle 1/3 (6 to 11 cm) of 429 cases, in the lower 1/3 (less than 6 cm from the anal verge) in 249 cases, and the remaining 15 cases. Cases are not classified. Surgical methods include palliative and curative. Resection specimens were pathologically examined and no cancerous cells were found on both sides of the intestine. Three patients in the upper 1/3, mid 1/3, and lower 1/3 of the rectum undergo postoperative disease