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目的 探讨局部复发性直肠癌再手术的适应证及影响再手术的因素。方法 上海第二医科大学附属瑞金医院外科 1993年 10月至 2003年 10月收治的 78例复发性直肠癌再手术前均行放疗,对其疗效进行回顾性分析。结果 78例中,根治性切除 32例,姑息性切除 46例,根治切除率为 41 .03%。手术死亡 2例,手术死亡率为 2 .56%。根治性手术组和姑息性手术组中位生存期分别为 35 .8个月和 12. 4个月。结论 再手术结合术前放疗是局部复发性直肠癌的首选治疗方法。
Objective To investigate the indications of reoperation for locally recurrent rectal cancer and the factors influencing reoperation. Methods 78 patients with recurrent rectal cancer admitted to Ruijin Hospital, Shanghai Second Medical University from October 1993 to October 2003 were treated with radiotherapy before reoperation. The curative effect was retrospectively analyzed. Results Of 78 cases, radical resection in 32 cases, palliative resection in 46 cases, radical resection rate was 41.03%. Surgery in 2 cases, surgical mortality was 2.56%. The median survival of the radical surgery group and the palliative surgery group was 35.8 months and 12.4 months respectively. Conclusions Reoperation combined with preoperative radiotherapy is the first choice for the treatment of locally recurrent rectal cancer.