直肠癌术后局部复发再治疗的诊治分析

目的:探讨直肠癌术后局部复发的原因、预防及治疗方法。方法:回顾性分析43例直肠癌术后局部复发患者的临床资料。结果:行根治性切除21例,其1、3、5年的生存率分别为100%、52.4%、33.3%。根治术组和姑息术组中位生存期分别为34.5(12-84)个月和12(3-21)个月。结论:局部复发性直肠癌积极手术治疗并行以手术为主的综合治疗可以延长患者生存期,提高生存质量。

Evaluation of dignosis and retreatment for locally recurrent rectal cancer

Objective： To explore the dignosis and efficacy of retreatment for locally recurrent rectal cancer after radical surgery. Methods： 43 patients of locally recurrence were retrospectively analyzed, using different treatment methods. Results： 21 cases underwent radical resection, the 1,3,5 year survival rate was 100%,52.4%,33.3%.The median survival time of radical resection group was 34.5 （12~84）months, and the palliative resection group was 12 （3~21） months. Conclusions： locally recurrent rectal cancer should be treated energetically , and with operation and eompositive therapy which will improve the survival of the patients with locally recurrent rectal cancer and improve their quality of life.