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我院1987年3月至1989年3月,遇到吻合口复发性直肠癌9例(初次手术在外院施行者6例;我院作3例)。现将复发原因、诊断方法、治疗原则及预防措施诸方面结合文献探讨如下。临床资料本组原发癌肿距肛缘5～6cm者2例;8～10cm者5例;10cm以上者2例。Dukes’分期:A期2例,B期4例,C期3例。病理类型:属粘液腺癌1例,低分化腺癌1例,中分化腺癌4例,高分化腺癌3例。手术方法:经骶行局部根治性切除者2例,行Dixon术式者7例。复发时间:1年内者2
From March 1987 to March 1989 in our hospital, we encountered 9 cases of recurrent rectal cancer in the anastomosis (6 cases of the first operation in the external hospital and 3 cases in our hospital). Now we will discuss the following aspects in terms of recurrence, diagnostic methods, treatment principles, and preventive measures. Clinical data in this group of primary cancer from the anal margin of 5 ~ 6cm in 2 cases; 8 ~ 10cm in 5 cases; 10cm or more in 2 cases. Dukes’ staging: 2 cases in stage A, 4 cases in stage B, and 3 cases in stage C. Pathological types: 1 case of mucinous adenocarcinoma, 1 case of poorly differentiated adenocarcinoma, 4 cases of moderately differentiated adenocarcinoma, and 3 cases of well-differentiated adenocarcinoma. Surgical methods: Two patients were treated with local radical resection and seven patients were treated with Dixon. Relapse time: 1 year 2