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根治性手术切除仍然是治愈胃癌最重要的手段,但只适用于早期或局部晚期可切除的胃癌。我国进展期胃癌病人比例高,约50%的病人就诊时已出现远处转移或因局部肿瘤病期较晚而失去了手术机会,即使进行了根治性手术切除,局部复发率仍高达20%~40%[1-3],肿瘤复发后病人生存期有限。目前,针对这部分晚期病人,应考虑放疗这种局部治疗手段的介入。综合运用化疗、放疗、手术、支持治疗等方法减轻病人痛苦、提高生活质量和改善预后。
Radical surgical resection is still the most important means to cure gastric cancer, but only for early or locally advanced resectable gastric cancer. The proportion of patients with advanced gastric cancer is high in our country. About 50% of the patients have distant metastases at the time of diagnosis or have lost the chance of operation due to the late stage of local tumor. Even with radical surgical resection, the local recurrence rate is as high as 20% 40% [1-3], the survival of patients after tumor recurrence is limited. Currently, for this part of advanced patients, should consider radiotherapy this local treatment intervention. Comprehensive use of chemotherapy, radiotherapy, surgery, supportive treatment and other methods to reduce patient suffering, improve quality of life and improve prognosis.