【摘要】 目的:探讨直肠癌术后局部复发再手术的适应证及手术方法。方法:对1998-01-2004-12收治的58例直肠癌根治术后局部复发的患者进行再手术治疗并对其疗效进行回顾性分析。结果:58例患者根治性切除28例(48.27%),姑息性切除20例,剖腹探查或单纯造瘘10例。根治性手术、姑息性手术及未切除患者的5年生存率分别为21.2%、11.1%和0,中位生存期分别为42、19和7个月。结论:对于局部复发性直肠癌积极再手术能有效延长患者的生存期,提高生存率。更多还原

【Abstract】 OBJECTIVE:To explore the indication and the procedure of reoperation for patients with locally recurrent rectal cancer.METHODS:A total of 58 patients with locally recurrent of rectal cancer and with reoperation were analyzed retrospectively from January 1998 to December 2004.RESULTS:Twenty patients underwent radical resection,20 palliative resection and 10 patients colostomy.The 5-year survival rates of the radical,palliative and colostomy patients were 21.2%,11.1% and 0 respectively.The median survival time was 42,19 and 7 months respectively.CONCLUSION:The reoperation for the patients with locally recurrent of rectal cancer can improve the survival rate and quality of life.更多还原