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目的:探讨胃癌术后复发的临床特点及再手术适应症。方法:回顾性分析我院2000年1月至2009年1月收治的46例复发性胃癌再次手术病例的临床资料。结果:术中探查发现30例侵及毗邻器官,16例淋巴结转移,术后生存5年以上1例、3年以上18例、1年以上3例、1年以内死亡15例。结论:术后定期胃镜检查有助于复发性胃癌的早期诊断和提高手术率。选项择身体素质好、肿瘤复发局限者采取再次手术治疗,可延长生存时间,提高疗效。
Objective: To investigate the clinical characteristics and re-operation indications of gastric cancer recurrence. Methods: A retrospective analysis of our hospital from January 2000 to January 2009 admitted 46 cases of recurrent gastric cancer cases of re-clinical data. Results: 30 cases of invasion of adjacent organs and 16 cases of lymph node metastasis were found in operation. There were 1 case with more than 5 years after operation, 18 cases more than 3 years, 3 cases more than 1 year and 15 cases died within 1 year. Conclusion: Regular gastroscopy can help the early diagnosis of recurrent gastric cancer and improve the operation rate. Choice of good physical fitness, tumor recurrence limited to take another surgical treatment, can extend the survival time and improve the curative effect.