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目的探讨胃癌术后复发临床治疗体会。方法回顾2004年1月—2007年1月收治的胃癌术后复发采取再手术治疗60例患者临床资料进行总结。结果 60例胃癌术后复发再手术患者进行随访3-5年。行根治性切除20例中,生存1年4例,生存3年11例以上,生存5年5例,生存>3年16例,3年生存率80.00%。行姑息性手术30例中,生存1年19例,生存3年11例,生存5年0例,生存>3年11例,3年生存率36.66%。复发肿瘤未切除病例于半年内死亡。结论胃癌术后复发应仔细评估患者的全身情况、胃癌术后复发转移情况,积极进行再手术治疗,术后配合化疗、放疗和免疫治疗能够有效的延长患者的生存率,延长生命,改善生活质量。
Objective To investigate the clinical experience of postoperative recurrence of gastric cancer. Methods The clinical data of 60 patients who undergone reoperation after gastric cancer recurrence from January 2004 to January 2007 were retrospectively reviewed. Results 60 cases of gastric cancer recurrence and surgery patients were followed up for 3-5 years. Of the 20 patients who underwent radical resection, 4 survived for 1 year, 11 survived for 3 years, 5 survived for 5 years, 16 survived for 3 years and 80% for 3 years. Among the 30 patients who underwent palliative surgery, 19 survived for 1 year, 11 survived for 3 years, 0 survived for 5 years, 11 survived for 3 years and 36.66% for 3 years. Recurrent tumors were not removed within six months of death. Conclusion The recurrence of gastric cancer should be carefully evaluated in patients with systemic conditions, postoperative recurrence and metastasis of gastric cancer, and actively re-operation, postoperative chemotherapy, radiotherapy and immunotherapy can effectively prolong the survival rate of patients, prolong life and improve quality of life .