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目的探讨胃癌术后复发的主要原因和形式以及复发后的冶疗方法。方法回顾性分析1996~2002年收治的64例胃癌术后复发病人的临床资料。结果64例病人中,早期复发占12.5%(8/64),中期复发占67.2%(43/64),晚期复发占20.3%(13/64);胃癌术后复发的病人中Ⅲ期胃癌占56.3%(36/64);再手术23例,其中根治性切除17例,早期复发切除率12.5%(1/8),中期复发切除率37.2%(16/43),晚期复发切除率46.2%(6/13)。结论术后复发与肿瘤分化程度、病理分期有关,首次手术应强调无瘤原则,复发者应注意有无手术指征,采取包括手术在内的综合冶疗措施,以改善病人的生活质量及预后。
Objective To investigate the main causes and forms of postoperative recurrence of gastric cancer and the methods of treatment after the recurrence. Methods The clinical data of 64 patients with recurrent gastric cancer after 1996 ~ 2002 were retrospectively analyzed. Results Of the 64 patients, early recurrence accounted for 12.5% (8/64), mid-term recurrence accounted for 67.2% (43/64), late recurrence accounted for 20.3% (13/64); gastric cancer recurrence in patients with gastric cancer Ⅲ 56.3% (36/64). Reoperation was performed in 23 cases, including radical resection in 17 cases, early recurrence and resection rate of 12.5% (1/8), mid-term resection and resection rate of 37.2% (16/43), late recurrence and resection rate of 46.2% (6/13). Conclusions Postoperative recurrence is related to the degree of tumor differentiation and pathological staging. The first operation should emphasize the principle of no tumor recurrence should pay attention to the presence or absence of surgical indications and take comprehensive treatment measures including surgery to improve the patient’s quality of life and prognosis .