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目的探讨胃癌术后复发再手术方式的临床意义及对预后的影响。方法回顾性分析复发性胃癌再手术患者113例的临床资料。结果 113例再手术患者的中位生存时间为17.3个月。54例根治性切除术的术后中位生存时间为23.1个月,39例姑息性手术的术后中位生存时间为11.9个月,20例剖腹探查术的术后中位生存时间为4.2个月。根治性手术的术后1、3和5年生存率分别为90.7%、42.6%和3.7%;姑息性手术的术后1年生存率为43.6%,均于2年内死亡;剖腹探查者术后均在1年内死亡。结论胃癌术后复发如能再次行根治性切除术,可提高患者生存率,延长生存期。
Objective To investigate the clinical significance of recurrence and recurrence of gastric cancer after operation and its effect on prognosis. Methods The clinical data of 113 patients with recurrent gastric cancer reoperation were analyzed retrospectively. Results The median survival time of 113 reoperation patients was 17.3 months. The median postoperative survival time was 23.1 months in 54 cases of radical resection, 11.9 months in 39 cases of palliative surgery, and 4.2 cases of postoperative laparotomy in 20 cases month. The 1, 3, and 5-year survival rates of radical surgery were 90.7%, 42.6% and 3.7%, respectively. The 1-year survival rate of palliative surgery was 43.6%, both of which died within 2 years. All died within 1 year. Conclusion Recurrence of gastric cancer after resection of the radical resection can improve patient survival and prolong survival.