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１９９２～１９９４年收治２４例直肠癌局部复发病人，其中伴肝转移３例、肺转移２例、腰椎转移１例。局部复发早期可无症状，或主要症状为粘液血便、大便变细及大便习惯改变、会明腰骶疼痛、会阴肿块、尿血、阴道流血、下肢水肿等。ＣＥＡ测定、盆腔ＣＴ扫描、Ｂ超及同位素骨扫描是诊断局部复发的重要辅助检查。术后定期复查是早期发现及诊断的关键。处理上，再次手术ＡＰＲ６例，会阴肿块局切３例，单纯造瘘３例。盆腔局部放疗７例，静脉化疗６例，未治２例。直肠癌术后复发与首次手术操作及肿瘤的生物学行为等有关。明确直肠癌术后局部复发的诊断后，争取再次手术治疗，其次，可考虑盆腔放疗及静脉化疗。
From 1992 to 1994, 24 patients with local recurrence of rectal cancer were treated, including 3 with liver metastases, 2 with lung metastases, and 1 with lumbar metastases. Early local recurrence can be asymptomatic, or the main symptoms are mucopura, fecal thinning and changes in bowel habits, will reveal lumbosacral pain, perineal mass, hematuria, vaginal bleeding, lower extremity edema. CEA, pelvic CT scan, B-scan and isotope bone scan are important auxiliary examinations for the diagnosis of local recurrence. Periodic review after surgery is the key to early detection and diagnosis. On the treatment, 6 cases of APR were performed again, 3 cases of perineal masses were cut, and 3 cases of simple fistulas. There were 7 cases of local pelvic radiotherapy, 6 cases of intravenous chemotherapy, and 2 cases without treatment. The recurrence of rectal cancer is related to the first surgical operation and the biological behavior of the tumor. To clarify the diagnosis of local recurrence after rectal cancer surgery, to fight for reoperation, and second, consider pelvic radiotherapy and intravenous chemotherapy.