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目的 探讨直肠癌术后盆腔复发的原因。方法 回顾性分析我院近 5年 2 38例直肠癌手术后 35例盆腔复发病例。结果 直肠癌术后盆腔复发与患者年龄、性别、肿瘤位置、病理类型、Dukes分期、淋巴结转移和手术术式有关。结论 预防直肠癌术后盆腔复发应从首次手术时做起 ,尤其是决定手术方式时 ,应综合考虑患者的肿瘤位置、病理类型、Dukes分期等因素。对已有盆腔复发的病例 ,只要局部和全身条件允许 ,力争再手术切除复发灶 ,延长生存期 ,提高生存质量
Objective To investigate the causes of pelvic recurrence after rectal cancer. Methods Retrospectively analyzed 35 cases of pelvic recurrence after surgery in 238 cases of rectal cancer in our hospital in the past 5 years. Results The incidence of pelvic recurrence after rectal cancer was related to age, sex, tumor location, pathological type, Dukes stage, lymph node metastasis and surgical operation. Conclusion Prevention of pelvic recurrence after rectal cancer surgery should be started from the first operation. Especially when the surgical method is decided, the patient’s tumor location, pathological type, Dukes stage and other factors should be considered comprehensively. For those who have had pelvic recurrence, as long as the local and systemic conditions permit, they strive to re-surgically relapse the tumor, prolong the survival period and improve the quality of life.