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早期胃癌手术预后一般良好,日本报道5年存活率超过90%,但仍有根治术后复发的病例.作者复习24年来治疗早期胃癌的经验,并对以下情况进行评价:(1)早期胃癌的复发率及其类型;(2)复发病例与临床病理性质或手术操作有关的特征所见;(3)进一步提高早期胃癌预后的可行性.病人和方法作者复习1965～1988年在Hofu胃肠道医院503例根治性切除的早期胃癌.1989年并进行了随访研究,用生命表的方法计算了累积复发死亡率.结果:(1)复发率,97例死亡,其中17例(17.5%)系胃癌复发.粘膜下胃癌复发率明显较高(P<0.05).(2)复发类型和存活,17例复发病例中,血源性转移9例,最常见,5例残胃复发,3例淋巴结复发,1例腹腔播散.血源和淋巴结转移的复发病例多数
The prognosis of early gastric cancer surgery is generally good. Japan reported a 5-year survival rate of more than 90%, but there are still cases of radical recurrence after surgery. The author reviewed the 24-year experience in the treatment of early gastric cancer, and evaluated the following conditions: (1) early gastric cancer Recurrence rate and its type; (2) Recurrence cases are related to clinical pathological features or surgical operation-related features; (3) Further improve the feasibility of early gastric cancer prognosis. Patients and Methods The authors reviewed the gastrointestinal tract in Hofu from 1965 to 1988. In 503 patients with radically resected early gastric cancer in the hospital, a follow-up study was conducted in 1989. The cumulative recurrence mortality was calculated using the life table method. Results: (1) Recurrence rate, 97 deaths, of which 17 cases (17.5%) were Recurrence of gastric cancer. The recurrence rate of submucosal gastric cancer was significantly higher (P<0.05). (2) Type and survival of recurrence. Of the 17 recurrence cases, 9 were blood-borne metastases. The most common were 5 cases of gastric recurrence and 3 cases of lymph nodes. Recurrence, 1 case of intra-abdominal dissemination. Most cases of recurrence of blood and lymph node metastases