直肠癌Dixon术后局部复发60例临床分析  

Clinical analysis of local recurrence in after Dixon operation for rectal cancer with report of 60 cases.Huang Xiangcheng\+*,Wu Chengtang,Wen

作　　者：黄祥成[1,2] 吴承堂[1,2] 闻英 齐德林[1,2] 张志凌 

机构地区：[1]第一军医大学南方医院普外科 [2]第一军医大学中医系外科教研室

出　　处：《中国实用外科杂志》1999年第6期353-355,共3页Chinese Journal of Practical Surgery

摘　　要：目的探讨直肠癌Ｄｉｘｏｎ术后局部复发的原因。方法对近１０年行Ｄｉｘｏｎ术５１０例病人作一回顾性分析。结果局部复发６０例（１１８％），复发时间为术后３～２０个月，平均８９个月，１年内复发者４５例。复发部位为吻合口４６例，淋巴结５例，会阴部４例，吻合口周围３例，切口２例。属ＤｕｋｅｓＡ期５例，Ｂ期３７例，Ｃ期１８例。粘液性腺癌３３例，低分化腺癌１７例，印戒细胞癌６例，腺癌４例。肿瘤远切缘距离＜３ｃｍ者４８例，＞３ｃｍ者１２例。结论直肠癌Ｄｉｘｏｎ术后局部复发与肿瘤Ｄｕｋｅｓ分期、细胞学类型、远切缘距离。Objective To discuss the reason of local recurrence after Dixon operation for patients with rectal cancer. Methods 510 cases after resection for rectacl cancer by Dixon in our hospital from 1984 to 1993 were analysed. Results The local recurrence after Dixon operation was 60 cases(11\^8%),the recurrent time of postoperation was 320 months,mean time was 8\^9 months. 45 cases of recurrence were within 1 year.The recurrence occured at the anastomotic stoma(46 cases)and its surroundings(3 cases),lymph node(5 cases),perinum(4 cases)and incision(2 cases).Among the recurrent cases the pathological grading with Duckes A,B,C were in 5 cases,37 cases and 18 cases respectively.Mucoid adenocarcinoma was in 33 cases,poor differentiated adenocarcinoma 17 cases,signet cell cancer 6 cases and adenocarcinoma 4 cases.Distance from tumors to operation edges was less than 3cm in 48 cases and more than 3cm in 12 cases. Conclusion The local recurrence after Dixon operation is closely related to various factors such as pathologic grading,cytologic type,distance from tumor to operation edge and preoperative enema.

关 键 词：DIXON术 直肠肿瘤 手术后 复发 

分 类 号：R735.37[医药卫生—肿瘤]