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目的 探讨胃癌术后复发的早期发现 ,早期诊断和再手术治疗问题 ,以延长病人生存时间 ,提高胃癌 5年生存率。方法 回顾性分析我院 1994年至 1997年 17例胃癌术后复发再手术病例。结果 胃癌术后复发 71%发生于 2年之内 ,早期发现依赖于术后定期胃镜检查 ,再次手术获相对根治性切除者生存 14个月～ 4年 ,获姑息性切除者生存 6个月～ 2 2个月。结论 对胃癌术后复发病人能再次手术切除者 ,可延长病人生存时间 ,术后定期纤维胃镜检查有助于早期发现和早期诊断。
Objective To explore the early detection, early diagnosis and re-operation of gastric cancer recurrence after surgery to prolong the survival time and improve the 5-year survival rate of gastric cancer. Methods Retrospective analysis of 17 cases of gastric cancer recurrence and operation cases in our hospital from 1994 to 1997. Results 71% of gastric cancer recurrence occurred in 2 years, early detection depends on regular gastroscopy after surgery, re-operation was relatively radical resection of those who survive 14 months to 4 years, palliative resection who survive 6 months ~ 2 2 months. Conclusion Reoperation of patients with gastric cancer who can resection surgery can extend the survival time of patients, regular fiber gastroscopy after surgery is helpful to early detection and early diagnosis.