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本组男20例,女4例,男女之比为5:1。年龄22～64岁,平均43岁。术式复发分类Miles手术240例中复发11例。前切除术28例中复发4例,拉出术105例中6例复发,会阴部肛门成形术25例中3例复发。Dukes分期:A期1例,B期16例,C期7例。组织学分类;腺癌13例,粘液腺癌8例,印戒细胞癌2例,乳头状腺癌1例。复发时间:2年以内者8例,2～3年10例,<3年者6例。再手术术式;2例Miles手术后复发再作会阴部扩大切除术,2例前切除术和1例拉出术行
This group of 20 males and 4 females, male to female ratio of 5:1. Ages 22 to 64, average 43 years old. Recurrence classification of Miles operation in 240 cases of recurrence in 11 cases. Anterior resection was performed in 4 of 28 cases, in 105 cases, recurrence occurred in 6 cases, and in the perineal anus reconstruction in 3 cases, recurrence occurred in 3 cases. Dukes stage: 1 case in stage A, 16 cases in stage B, and 7 cases in stage C. Histological classification; adenocarcinoma in 13 cases, mucinous adenocarcinoma in 8 cases, signet ring cell carcinoma in 2 cases, papillary adenocarcinoma in 1 case. Relapse time: 8 cases within 2 years, 10 cases within 2 to 3 years, and 6 cases within 3 years. Reoperation; 2 cases of Miles recurrence followed by extensive perineumectomy, 2 cases of anterior resection and 1 case of retraction