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目的探讨直肠癌保肛术后局部复发的原因、早期诊断及合理的外科治疗方法。方法回顾性分析我院1998年1月~2005年2月直肠癌保肛术后复发15例的临床资料。结果局部复发6例,吻合口周围组织复发4例,盆腔及脏器浸润5例。术后1年内复发10例,2年内复发14例。临床根治性切除率为40%。结论初次手术时,必须按照根治性原则彻底切除原发灶及其周围组织。对于复发的病例,应对病人的情况进行综合分析,采取积极的以手术治疗为主的综合治疗方案,以延长病人的生存期。
Objective To investigate the causes, early diagnosis and reasonable surgical treatment of rectal cancer after anal sphincter preservation. Methods A retrospective analysis of our hospital from January 1998 to February 2005 rectal cancer after anal recurrence in 15 cases of clinical data. Results Local recurrence in 6 cases, anastomotic tissue around the recurrence in 4 cases, pelvic and organ infiltration in 5 cases. Recurrence occurred in 10 cases within 1 year and in 14 cases within 2 years. Clinical radical resection rate was 40%. Conclusions The first operation, the principle of radical must be completely removed the primary tumor and its surrounding tissue. For cases of relapse, a comprehensive analysis of the patient’s condition should be taken and a positive comprehensive treatment plan based on surgical treatment should be taken to prolong the patient’s survival.