直肠癌术后局部复发原因探讨  

Study of Causes of Local Recurrence of Rectal Carcinoma after Radical Rescetion

作　　者：袁宏银[1] 解云涛[1] 王坤[1] 

机构地区：[1]湖北医科大学附二院肿瘤科

出　　处：《肿瘤防治研究》1996年第5期314-316,共3页Cancer Research on Prevention and Treatment

摘　　要：１９８６年１月至１９９２年１２月我们对２０５例直肠癌进行了根治性外科治疗。本文就其术后局部复发进行了随访和分析，结果：２０５例中６８例局部复发，占３３．１７％，复发时间从术后３个月到６２个月，６１例（８９．７１％）发生在术后３年内。局部复发与手术方式和病理类型无明显联系，而与肿瘤的病期、原发瘤所在部位以及远端肠管切除范围密切相关。我们认为早期手术和获得一个较为广泛的无瘤切缘是预防局部复发的关键。Radical resection of rectal carcinoma was performed on 205 patients from Jan.1986 to Dec.1992.Following-up survey showed that local recurrence occured in 68 cases(33.17%).The recurrence time varies from 3 months to 62 months after operation.Most recurrence patients (89.71%)occrued within 36 months. The study shows that incidence of local recurrence is not related with operative method and pathologic type, but is directly related with the stage of the disease, location of the primary lesion and resection range of distal bowel.It is suggested that early operation and extensive resection margin around the primary tumor be the key for prevention of local recurrence.

关 键 词：直肠肿瘤 外科手术 局部复发 

分 类 号：R735.370.2[医药卫生—肿瘤]