35例直肠癌术后局部复发的外科治疗分析  

Curative Effect Analysis on Local Recurrence of Rectal Cancer

作　　者：张建群[1] 

机构地区：[1]安徽省六安市中医院肿瘤外科,安徽六安237000

出　　处：《黑龙江医学》2012年第9期661-662,共2页Heilongjiang Medical Journal

摘　　要：目的探讨直肠癌术后局部复发的外科治疗疗效,并进行分析。方法选取2004-03～2010-03间,我院收治的35例直肠癌术后局部复发患者,均采取再手术治疗,其中:再次行Dixon术者17例,Miles术者12例,姑息性手术6例,观察其术后复发时间与切除率、首次手术方式与切除率的关系,比较3种手术方式的生存率。结果术后5年内复发者切除率明显>2年内患者(P<0.01);首次手术为Dixon术复发病灶切除率明显>Miles术复发病灶切除率(P<0.01);行Dixon术的中位生存时间,3年存活率、5年存活率明显>行Miles术和行姑息性手术(P<0.01)。结论通过综合评估病情后,进行直肠癌外科手术可以增加直肠癌术后局部复发患者的生存时间。Objective To investigate the local recurrence of rectal cancer, surgical treatment efficacy, and ana- lyzed. Methods 35 cases of local recurrence of rectal cancer patients in our hospital in March 2004 to March 2010, were analyzed to adopt surgical treatment, which again for Dixon technique in 17 cases, Miles operation in 12 cases, palliative surgery 6 cases, to observe the recurrence time and the removal rate of the first operation with the removal rate, the survival rate of the comparison of three surgical methods. Results The recurrence 5 years after resection rate was significantly higher than 2 years in patients （P 〈0. 01 ） ; the first operation for recurrence of Dixon technique excision was significantly higher than the recurrence of Miles operation, the excision rate dis- cussion （P 〈 0. 01 ） ; the median survival time , the 3 - year survival, 5 - year survival rate of Dixon operation was significantly higher than Miles operation and palliative surgery （P 〈 0.01 ）. Conclusion The comprehensive as- sessment of the condition, patients with local recurrence after rectal cancer surgery can increase cancer survival time.

关 键 词：直肠癌 术后局部复发 外科治疗 

分 类 号：R735.37[医药卫生—肿瘤]