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目的探讨结直肠癌术后复发再手术治疗的近期疗效,并分析预后。方法选取48例结直肠癌术后复发患者(结肠癌术后复发28例,直肠癌术后复发20例),给予直肠拖出切除吻合术进行治疗。分析患者的手术治疗近期疗效及预后情况。结果近期效果:48例结直肠癌术后复发患者行直肠拖出切除术后,近期疗效良好无较严重并发症,只有2例患者发生吻合口瘘,经保守治疗后痊愈,无一例死亡。随访结果:术后1个月进行随访,发现所有患者均能够自主排便和排尿;术后3个月随访,发现所有患者均基本恢复健康;术后6个月~2年随访,无再复发患者。结论结直肠癌术后复发患者的再手术治疗具有较好的近期疗效,对提高患者的生存质量以及降低死亡率具有重要意义。
Objective To investigate the short-term curative effect of reoperation and reoperation after colorectal cancer surgery and to analyze the prognosis. Methods Forty-eight patients with recurrence of colorectal cancer (28 recurrent postoperative colon cancer and 20 recurrent rectal cancer postoperative recurrence) were treated by rectal excision and anastomosis. Analysis of patients with surgical treatment of recent efficacy and prognosis. Results of the recent results: 48 patients with recurrent colorectal cancer recurrence after resection of the bowel resection, the recent good effect without serious complications, only 2 patients with anastomotic leakage, after conservative treatment healed, and no one died. Follow-up results: One month after the operation, all patients were able to defecate and urinate spontaneously. All patients were basically recovered after 3 months of follow-up. After 6 months to 2 years of follow-up, no recurrence was found . Conclusion Reoperation of patients with recurrent colorectal cancer after surgery has good short-term curative effect, which is of great significance to improve patients’ quality of life and reduce mortality.