直肠癌术后近期局部复发临床分析(附43例报告)

目的探讨直肠癌首次术后1年内局部复发原因。方法回顾分析近5年来收治的43例直肠癌首次手术后1年内局部复发患者的临床资料。结果本组局部复发以盆腔骶前及会阴部为主(38例)，占88．4％；首次手术以传统手术为主(37例)，占86．0％，全直肠系膜切除者6例，占13．9％；施行综合治疗者仅11例，占25．6％，所有病例无新辅助治疗。再入院手术肿瘤切除11例，5例结肠造瘘，余综合治疗。结论降低直肠癌术后近期局部复发必须合理正确选择术式及规范施术，正确实施以手术为主的个体化综合治疗。

Local recurrence of rectal carcinoma in the near future after radical resection (review of 43 cases)

Objective To investigate the causes of local recurrence of rectal carcinoma in one year after radical resection. Methods The clinical data of 43 cases of local recurrence of rectal carcinoma were analyzed retrospectively. Results The antero-sacrum and perineal region was the main recurrence location, found in 38/43 cases (88.4%). Traditional operation was applied in most of the cases(37/43, 86.0%), while TME in only 6 cases (13.9%). Adjunctive radiochemotherapy was given during and/or after operation in 11 cases, never given before surgical treatment. The recurrence conditions were treated appropriately, with certain improvements obtained. Conclusion A reasonable, correct, individualized surgical procedure is essential to minimize local recurrence of rectal carcinoma. Adjunctive radial and chemical therapies should be fully emphasized when the patients are first dealt with.