自１９６５年～１９９１年，我院共收治１９例胃癌术后吻合口复发病人，占同期手术病人的２．１％。再次根治切除２例，１例生存２年４个月，１例生存４年１０个月均健在。６例开腹探查胃空肠吻合，均在半年内死亡。未手术行化疗９例，４例生存不满１年，５例生存不满６个月。２例行吻合口区放疗４个月内死亡。胃癌术后吻合口复发关键在于早期发现复发征象，争取及早再次行根治性切除。 From 1965 to 1991, 19 patients with anastomotic recurrence after gastric cancer were treated in our hospital, accounting for 2.1% of the surgical patients in the same period. Two cases were treated with radical resection. One patient survived for 2 years and 4 months, and 1 patient survived for 4 years and 10 months. 6 cases of gastrojejunostomy under laparotomy were all died within six months. Nine patients underwent chemotherapy without surgery, 4 patients survived for less than 1 year, and 5 patients survived for less than 6 months. 2 cases of anastomotic zone radiotherapy died within 4 months. The key to postoperative recurrence of gastric cancer after anastomosis lies in early detection of recurrence signs and strives for radical resection as soon as possible.