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目的:探讨直肠癌保肛术后吻合口复发的原因及治疗。方法:对15例直肠经腹低位切除术(Dixons)后吻合口复发者作回顾性研究,分析了直肠癌保肛术后吻合口复发的时间、治疗情况和疗效。结果:本组13例(86.7％)于术后2年内复发,9例再次行根治性手术,术后无瘤生存2年4例,5年1例,带瘤生存2年2例。结论:保肛术应慎重,术后吻合口复发仍以外科手术为首选治疗方法。
Objective: To investigate the causes and treatment of anastomotic recurrence after anal sphincter preservation in rectal cancer. Methods: A retrospective study was conducted on 15 cases of anastomotic recurrence after rectal transabdominal hypoglossomy (Dixons). The time, treatment and efficacy of anastomotic recurrence after rectal cancer were analyzed. Results: Thirteen patients (86.7%) had recurrence within 2 years after operation and 9 patients underwent radical operation again. There were 4 patients surviving 2 years after surgery, 1 patient 5 years, and 2 patients surviving for 2 years. Conclusion: Anal sphincter preservation should be cautious, and recurrence of anastomosis is still the first choice for surgical treatment.