直肠癌全直肠系膜切除术后局部复发的相关因素分析

直肠癌全直肠系膜切除术后局部复发的相关因素分析

张金书

【期刊名称】《实用癌症杂志》 【年(卷),期】2015(000)012

【摘要】Objective To study the related factors of local recurrence of rectal cancer after total mesorectum excision. Methods 278 cases of rectal cancer underwent total mesorectum excision were selected.14 cases among them had postoperative local recurrence,single factor analysis and logistic regression was used to analyze the influence factors of patients with postopera-tive local recurrence.Results 14 cases of 278 cases of colorectal cancer underwent total mesorectum excision had local recur-rence,accounting for 5.04%.Postoperative local recurrence of rectal cancer was mainly related to degree of differentiation,tumor perforation,infiltration depth,anal edge distance between the cutting edge length,lymph node metastasis and pathological

types,

radiation

and

chemotherapy

after

operation,preoperative intestinal obstruction,anastomotic fistula and other factors(P<0.05), and it was not related to gender,age,tumor diameter,tumor classification,operation method,and tumor diameter (P>0.05).Tak-ing the above factors into the logistic multivariate regression analysis,it showed that the degree of differentiation,tumor perfora-tion,infiltration depth,anal edge distance between the cutting