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目的 探讨胃癌术后复发的早期发现、早期诊断和再手术治疗问题,提高胃癌5年生存率.方法 回顾性分析1994～1997年17例胃癌术后复发再手术病例.结果 胃癌术后复发71%发生于2年之内,早期发现依赖于术后定期胃镜检查,再次手术获根治性切除者生存14个月～4年,获姑息性切除者生存6个月～22个月.结论 对胃癌术后复发病人再次手术行根治性切除者,可延长病人生存时间,术后定期纤维胃镜检查有助于早期发现和早期诊断.
Objective To investigate the early detection, early diagnosis and reoperation of gastric cancer after recurrence, and to improve the 5-year survival rate of gastric cancer. Methods Retrospective analysis of 17 cases of postoperative recurrence of gastric cancer from 1994 to 1997. Results Postoperative recurrence of gastric cancer 71% Within 2 years, early detection relied on regular gastroscopy after surgery. The patients who had undergone radical resection for another operation survived for 14 months to 4 years. Patients with palliative resection survived for 6 months to 22 months. Conclusions For gastric cancer After radical resection of relapsed patients after reoperation, can extend the survival time of patients. Postoperative fiberoptic gastroscopy is helpful for early detection and early diagnosis.