31 例局部复发性直肠癌的再手术治疗

 目的　总结直肠癌局部复发的手术治疗经验。方法　对 31例局部复发性直肠癌进行了再手术治疗。结果　无症状者和有症状者的手术切除率分别为 80 .0 %和 2 8.6% ,3年生存率分别为 60 .0 %和 2 3.8% ,5年生存率分别为 40 .0 %和 9.5% ,两者间均存在显著差异。另外 ,从复发部位来看 ,无论是切除率还是生存率 ,均以盆腔复发者最低。结论　外科手术是治疗局部复发性直肠癌切实有效的方法 ;而定期复查、早期诊断又是影响切除率和生存率的最重要因素。

Surgical Treatment of 31Cases With Locally Recurrent Rectal Cancer

Objective To sum up the experience in surgical resection of locally recurrent rectal cancer.Methods 31 patients with rectal cancer local recurrence were surgically treated.Results The resection rates,3|year survival rates, and 5|year survival rates,for asymptomatic and symptomatic patients,were 80.0% and 28.6%,60.0% and 23.8%, and 40.0% and 9.5%, respectively.The differences were statistically significant.With regard to the site of recurrence, intrapelvic cavity recurrence had the lowest resection rate and survival rate.Conclusion Surgical resection is a practical and effective method in the treatment of rectal cancer local recurrence. Regular follow up checks for early diagnosis is the most important factor that influences resection rate and survival rate .