[摘要] 目的 观察125I 放射微粒植入对直肠癌术后盆腔局部复发的治疗效果。方法 对12例临床确诊直肠癌术后盆腔局部复发，在癌组织间植入125I放射微粒，每例平均36粒，术后复查B超、观察对照。结果 采用经尾骶部或经腹进入，部分切除盆腔复发肿块+125I粒子植入治疗方法，手术过程顺利，3个月后经B超及CT示肿块，会阴部、骶尾部胀痛以及阴茎龟头疼痛明显缓解，双侧输尿管扩张、肾盂积水消失及肾功能亦得到不同程度恢复。结论 125I 放射微粒植入方法，对直肠癌根治手术后盆腔局部复发无法再手术的患者，治疗安全性好、效果可靠。

    [关键词] 直肠癌；术后；局部复发；放射性碘

    125I in treatment of local recurrence of colorectal carcinoma in pelvic cavity post-operatively

    ZHAO Ci-bao，SHEN Jin-gui，XIA Ze-bing.Department of Surgery，Shanghai Dahua Hospital，Shanghai 200237，China

    [Abstract] Objective To observe effects of 125I particle on local recurrence of colorectal carcinoma post-operatively.Methods Twelve cases of recurrent colorectal carcinoma in pelvic cavity were under one 125I particle implanting，36 particles per case.B ultrasound was used to observe the curative efficacy.Transabdominal or transcaudal entry ......