胃癌术后复发因素的分析

回顾性分析胃癌术后复发的主要因素,改进胃癌的诊治措施。方法：回顾性分析1995年1月～1999年12月我科收治的25例胃癌复发行再手术病例。结果：胃癌术后复发的主要部位是腹腔、腹膜、淋巴结和吻合口区，其根本原因是肿瘤组织的浆膜浸润、淋巴清扫术不够彻底和不规范切除(D≤N)以及切缘的潜在阳性。结论：胃癌的疾病分期和合理有效的综合治疗是影响复发的根本原因。胃癌的早诊早治是提高预后和降低术后复发的重要手段。

Analysis of the Factors Influencing the Recurrence of Gastric Cancer after Operation

Objective:　Retrospective analyse the main factors influencing the recurrence of gastric cancer after operation, man attempt to improve the standard of diagnosis and treatment.　Methods: Retrospective analysis was male in 25 cases operated for recurrence of gastric cancer during the period from January 1995 to December 1999.　Results: The recurrences were mainly located in the peritoneal cavity, the lymph nodes and the anatomotic region. Serosal involvement of the lesion, non-radical or irrational extent of lymphatic curage(D≤N) and inadequacy of gastric resection were the main causes of recurrence.　Conclusions: Post-opertive recurrence is closely related to the staging of gastric cancer, the rational extent of operation and the adoption of other therapeutic measures. Early detection and treatment of gastric cancer are most important in reducing recurrence and in improving the prognosis.