直肠癌术后局部复发再治疗的分析

目的 探讨直肠癌根治术后局部复发的治疗效果。方法 对1993年1月～2003年12月间收治的180例局部复发再治疗的患者不同治疗方法的疗效，进行回顾性分析。结果 单纯手术（A组）61例，术后加放疗（B组）53例，单纯放疗（C组）31例，未治疗（D组）35例。A、B、C及对照组中位生存期分别为24、26、13及4个月。A、B组1、3a生存率显著优于C组（P〈0．01）。结论 直肠癌根治术后复发者，行积极的手术或以手术为主的综合治疗可给患者带来长期生存的机会。

Evaluation of retreatment for locally recurrent rectal cancer

[Objective] To explore the efficacy of retreatment for locally recurrent rectal cancer after radical surgery. [Methods] 180 patients of locally recurrence admitted from January, 1993, to December, 2003 were retrospectively analyzed, using different treatment methods. [Results] Seventy-one cases underwent resection (group A), Fifty-three cases were treated by resection combined with radiotherapy (group B) and thirty-one patients received radiotherapy alone(group C). The other 35 patients were untreated (group D). The median Survival periods of group A, B, C and D group were 24, 26, 13 and 4 months, respectively. The survival rates of group A and B were better than that of group C significantly (P <0.01). [Conclusions] The aggressive surgery or surgical comprehensive therapy will improve the survival of the patients with Locally recurrent rectal cancer after radical surgery.