目的 :探讨女性直肠癌前切除术后局部复发的病因、诊断及再次手术的效果。方法 :对 2 6例女性直肠癌前切除术后局部复发再手术者进行回顾性分析。结果 :局部复发的 2 6例中行治愈性手术 11例 ,姑息性手术 15例。治愈性手术组和姑息性手术组的中位生存期分别为 3 6个月和 15个月。 5年生存率分别为 5 4.6%和 13 .3 %。结论 :女性直肠癌前切除术后定期复查有助于局部复发的早期发现和诊断。对局部复发者仍应积极再次手术 ,它能延长病人生存期 ,提高其生存质量 Objective: To investigate the etiology, diagnosis and reoperation of local recurrence after resection of female rectal cancer. Methods: Retrospective analysis was performed on 26 cases of local recurrence and reoperation after resection of female rectal cancer. Results: Twenty-six cases of local recurrence were cured in 11 cases and palliative surgery in 15 cases. The median survival of curative surgery and palliative surgery were 36 and 15 months, respectively. The 5-year survival rates were 5 4.6% and 13.3%, respectively. Conclusion: The regular review of pre-resection for female patients with colorectal cancer is helpful for the early detection and diagnosis of local recurrence. Local recurrence should still be actively reoperation, it can prolong the survival of patients and improve their quality of life