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目的分析胃癌根治术后复发因素及其诊断、治疗。方法对1985～2003年间经胃镜或胃肠透视证实为复发癌的临床资料进行分析。结果复发性胃癌38例,再次手术23例,实行剖腹探查活检术5例,胃空肠吻合术10例,根治性胃癌切除8例,手术切除率3478%。术后因吻合口瘘死亡1例,其余7例均痊愈出院。其后1年内生存5例,占手术切除率的675%,存活3年内2例,占250%。结论早期诊断、严格掌握手术适应证、合理的手术方法以及术后的综合治疗是改善病人预后的重要因素。
Objective To analyze the recurrence of gastric cancer after radical surgery and its diagnosis and treatment. Methods The clinical data of patients with recurrent carcinoma confirmed by endoscopy or gastrointestinal fluoroscopy between 1985 and 2003 were analyzed. Results 38 cases of recurrent gastric cancer, 23 cases of reoperation, laparotomy biopsy in 5 cases, gastrojejunostomy in 10 cases, radical resection of gastric cancer in 8 cases, the surgical resection rate was 3478%. One patient died of anastomotic fistula after operation, and the remaining seven patients were discharged. In the following 1 year, 5 cases were alive, accounting for 675% of the resection rate and 2 cases surviving within 3 years, accounting for 250%. Conclusion Early diagnosis, strict indications of surgical indications, reasonable surgical methods and postoperative comprehensive treatment are important factors to improve the prognosis of patients.