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本文报道1976年6月～1983年7月收治的42例直肠癌前切除病例,按一般根治术和扩大根治术分为 A、B两组,随访证明局部复发多在术后2年之内,局部复发率分别为20～27％。文章对局部复发因素进行了探讨,对有关复发诸因素归纳为肠管壁内,肠管壁外侧方转移和细胞种植等因素。因此提出为预防前切除术后局部复发,强调在选择适应症和操作方法以及直肠远端切除长度等方面应注意的问题。
This article reported 42 cases of anterior resection of rectal cancer from June 1976 to July 1983, divided into A and B groups according to general radical surgery and extended radical resection. Follow-up showed that local recurrence occurred more than 2 years after operation. The local recurrence rate was 20-27%. The article discusses the local recurrence factors, and summarizes the factors related to recurrence, such as the intestinal wall, the lateral wall of the intestinal wall, and cell growth. Therefore, in order to prevent local recurrence after anterior resection, it is emphasized that attention should be paid to the selection of indications and methods of operation as well as the length of the distal resection.