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目的 总结直肠癌局部复发的手术治疗经验。方法 对 31例局部复发性直肠癌进行了再手术治疗。结果 无症状者和有症状者的手术切除率分别为 80 .0 %和 2 8.6% ,3年生存率分别为 60 .0 %和 2 3.8% ,5年生存率分别为 40 .0 %和 9.5% ,两者间均存在显著差异。另外 ,从复发部位来看 ,无论是切除率还是生存率 ,均以盆腔复发者最低。结论 外科手术是治疗局部复发性直肠癌切实有效的方法 ;而定期复查、早期诊断又是影响切除率和生存率的最重要因素。
Objective To summarize the experience of surgical treatment of local recurrence of rectal cancer. Methods Thirty-one patients with local recurrent rectal cancer were treated with surgery. Results The asymptomatic and symptomatic patients had a resection rate of 80.0 % and 28.6% respectively. The 3-year survival rates were 60.0 % and 2 3.8% respectively. The 5-year survival rates were 40.0 % and 9.5 respectively. %, there are significant differences between the two. In addition, from the perspective of recurrence, both resection rate and survival rate were lowest in pelvic recurrence. Conclusions Surgery is an effective and effective method for the treatment of locally recurrent rectal cancer. Regular review and early diagnosis are the most important factors affecting resection rate and survival rate.