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目的:探讨进展期胃癌临床治愈的可能性,延长患者无瘤生存期,提高生活质量。方法:通过对我院自1987年至1999年间收治的278例复发性胃癌进行回顾性分析。结果:术后无瘤期少于半年者占38.8％(108例),中位无瘤期10.7个月;其中Ⅲ+Ⅳ期占80％;腹壁种植40例。结论:肿瘤病期较晚,手术切除不彻底或种植是术后早期复发的主要原因。早期根治术是提高治愈率之根本;综合治疗是必由之路。复发再治疗依然可能有效。
Objective: To explore the possibility of clinical cure for advanced gastric cancer, to prolong the life-span of patients without disease and improve the quality of life. Methods: A retrospective analysis of 278 recurrent gastric cancer admitted to our hospital from 1987 to 1999 was conducted. Results: There were 38.8% (108 cases) with no tumor in less than half a year after operation, and the median tumor-free period was 10.7 months. The stage Ⅲ + Ⅳ was 80% and the abdominal wall was planted in 40 cases. Conclusion: Late tumor stage, incomplete surgical resection or implantation is the main reason for early postoperative recurrence. Early radical surgery is to improve the cure rate of the fundamental; comprehensive treatment is the only way. Recurrence and treatment may still be effective.