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目的探讨胃癌术后局部复发的相关因素。方法回顾性分析我院1991~2005年收治的50例胃癌根治术后局部复发病例的临床、病理和生存资料,用Logistic多因素回归分析胃癌局部复发可能的相关因素。结果全组50例2年内复发比例为66.0%;肿瘤病理分期、阳性淋巴结数和根治程度为影响胃癌局部复发的独立因素。结论胃癌术后局部复发多在2年内发生;术后定期随访尤其是胃镜检查有助于早期诊断;肿瘤病理分期、阳性淋巴结数和根治程度为影响胃癌局部复发的独立因素。
Objective To investigate the related factors of local recurrence of gastric cancer after operation. Methods The clinical, pathological and survival data of 50 patients with locally recurrent gastric cancer after radical resection from 1991 to 2005 in our hospital were retrospectively analyzed. Logistic regression was used to analyze the possible related factors of local recurrence of gastric cancer. Results The recurrence rate of 50 cases in 2 years was 66.0%. The pathological staging, the number of positive nodes and the degree of cure were the independent factors affecting the local recurrence of gastric cancer. Conclusion Local recurrence of gastric cancer occurs more than 2 years after operation. Regular follow-up after operation, especially endoscopy, is helpful for early diagnosis. Staging of tumor, number of positive nodes and radical cure are the independent factors influencing the local recurrence of gastric cancer.