直肠癌保肛术后复发的外科治疗  

Surgical treatment of recurrence after anus-preserving rectal carcinoma resection

作　　者：倪庆[1] 李强[1] 陈泉[1] 戴勇[1] 

机构地区：[1]江苏省扬州市第一人民医院普外科,225001

出　　处：《腹部外科》2006年第2期86-87,共2页Journal of Abdominal Surgery

摘　　要：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 study the causes of recurrence, diagnosis and treatment of anus-preserving rectal carcinoma resection. Methods The clinical data of the recurrence in 15 cases of rectal cancer undergoing anus-preserving rectal resection from 1998 to 2005 were retrospectively analyzed. Results Local recurrence, recurrence around the anastomotic tissue and invasion of pelvic cavity or perineum occurred in 6 cases,4 cases and 5 cases respectively. There were 10 cases and 14 cases of postoperative 1- and 2-year recurrence respectively. Radical resection rate was 40%. Conclusion To decrease the postoperative local recurrence of rectal carcinoma and increase survival rates, primary lesion and its surrounding tissue must be radically resected, and lymphade-nectomy should be performed thoroughly. The recurrent rectal carcinoma still needs active surgical treatment in order to prolong the survival time and improve quality of life.

关 键 词：直肠肿瘤 肿瘤复发 局部 综合疗法 

分 类 号：R657.4[医药卫生—外科学] R473.73[医药卫生—临床医学]