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目的探讨根治性直肠癌术后局部复发的预后情况,以及相关的临床分析。方法 2008年04月至2010年04月期间,我院诊治的80例直肠癌根治术患者,其中15例患者术后出现局部复发,分别给予根治性切除术和姑息性手术治疗后,术后平均随访2年,对其术后生存期进行比较。结果 80例直肠癌根治术患者中,15例患者术后出现局部复发,其复发率为18.75%。15例直肠癌根治术后局部复发患者中,10例患者进行根治性手术,5例患者给予了姑息性手术。与姑息性手术相比(17.0个月),根治性手术的术后生存期明显延长(35.5个月),P<0.05,有统计学意义。结论根治性切除术治疗直肠癌术后复发病灶,显著提高了患者的术后生存期,改善了患者的生存质量,值得临床推广。
Objective To investigate the prognosis of postoperative local recurrence of radical rectal cancer and related clinical analysis. Methods From April 2008 to April 2010, 80 patients undergoing radical resection of rectal cancer underwent radical resection in our hospital. Fifteen patients underwent local recurrence after operation. After radical resection and palliative surgery, the average postoperative average The patients were followed up for 2 years and their postoperative survival rates were compared. Results Of 80 patients with rectal cancer who underwent radical resection, 15 patients developed local recurrence with a recurrence rate of 18.75%. Of 15 patients with locally recurrent rectal cancer after radical resection, 10 underwent radical surgery and 5 underwent palliative surgery. Compared with palliative surgery (17.0 months), the postoperative survival of radical surgery was significantly prolonged (35.5 months), P <0.05, with statistical significance. Conclusion Radical resection of rectal cancer patients with recurrent lesions, significantly improve the patient’s survival time and improve the quality of life of patients, it is worth clinical promotion.