直肠癌术后局部复发的治疗  

Treatment of postoperative local recurrence of rectal cancer

作　　者：陈贵平[1] 鞠海星[1] 范永田[1] 赵阳[1] 李德川[1] 曹浩明[1] 楼荣灿[1] 

机构地区：[1]浙江省肿瘤医院外科,310022

出　　处：《浙江临床医学》2004年第5期378-379,共2页Zhejiang Clinical Medical Journal

摘　　要：目的 分析比较直肠癌术后局部复发不同治疗方法的疗效。方法 1989～1999年收治145例直肠癌术后局部复发的患者 ,50例单纯放疗 (I组 ) ,58例单纯手术切除 (II组 ) ,37例手术切除加放疗 (III组 )。 结果 1年生存率分别为I组54.0% ,II组74.1% ,III组75.7% ,3年生存率分别为I组24.0%、II组44.0%、III组48.6%。III组的1、3年生存率显著优于I组 (P<0.05)。结论 直肠癌根治术后2～3年内应严密随诊 ,对局部复发者应争取手术或以手术为主的综合治疗。Objective To analyse the therapeutic effects of various treatments for postoperative local recurrent rectal cancer. Methods From1989to1999,145patients with postoperative local recurrent rectal cancer were treated with various treatments.50patients were received only radiotherapy(group I),58patients underwent operation(group II)and37patients were treated by operation combined with radiotherapy(group III). Results The1-year survival rate of group I、II、III was54.0%、74.1%and75.7%respectively.The3-year survival rate of group I、II、III was24.0%、44.0%and48.6%respectively.The1-year and3-year survival rates of group III were better than those of group I obviously(p<0.05). Conclusion Follow-up should be performed for2-3years after operation in patients of rectal cancer and operation or synthetic therapy should be strive for patients with postopˉerative local recurrent rectal cancer.

关 键 词：直肠癌 术后局部复发 治疗 生存率 肿瘤远处转移 

分 类 号：R735.3[医药卫生—肿瘤]