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目的探讨局部复发性直肠癌（直肠癌根治术后）再次手术的价值。方法回顾性分析再手术治疗的局部复发性直肠癌４８例。结果３３例行根治术，１５例行姑息性手术。根治术组和姑息性手术组中位生存期分别为３５２个月（８～８２个月）、１３个月（２～２３个月），再手术５年生存率为３４８％。结论对于局部复发性直肠癌仍应积极手术，有助于延长生存期，提高生存质量
Objective To investigate the value of reoperation for locally recurrent rectal cancer after radical resection of rectal cancer. Methods A retrospective analysis of 48 patients with locally recurrent rectal cancer was performed. Results 33 patients underwent radical surgery and 15 patients underwent palliative surgery. The median survival time was 35. 2 months (8 to 82 months) and 13 months (2 to 23 months) in the radical surgery group and palliative surgery group. The 5-year survival rate of the reoperation was 34.8%. Conclusion Active surgery should be performed for locally recurrent rectal cancer, which helps to prolong survival and improve quality of life.