【摘要】 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。更多还原

【Abstract】 Objective:To study the probility of clinical cure of advanced gastric cancer, prolong the patients free survival time and improve survival quality. Methods: We analyzed retrospectively of 278 cases of postoperative return of advanced gastric cancer with WenZhou Tumor Hospital from 1987 to 1999. Results:Postoperative free survival time shorter than 6 months was 38.8% (108 cases), mean postoperative free survival time was 10. 7 months, in which stageⅢandⅣwas 80%. There were 40 cases with abdominal implantation. Conclusions: Advanced tumors, postoperative remains or implantation are main reason for early recurrence. Early redical operation was a key of increasing curative rate. Comprehensive treatment is necessary. Retreatment after recurrence still may achieve good effect.更多还原