进展期胃癌根治术后复发30例临床分析  

Clinical analysis of 30 cases of recurrence of advanced gastric cancer after radical resection

作　　者：何裕隆[1] 张常华[1] 蔡世荣[1] 黄美近[1] 吴晖[1] 詹文华[1] 王吉甫[1] 

机构地区：[1]中山大学附属第一医院,广州510080

出　　处：《中国实用外科杂志》2003年第8期476-478,共3页Chinese Journal of Practical Surgery

摘　　要：目的　总结胃癌术后复发的临床特点并探讨复发癌切除术的临床意义。方法　回顾性分析 1994年 8月至 2 0 0 1年 5月共收治的 30例胃癌术后复发病人的临床资料 ,将其分成切除组 (7例 )和非切除组 (2 3例 ) ,比较两组的临床特点和预后。结果　首次术后平均随访 2 1个月 (3～ 4 7 5个月 ) ,平均复发时间为 11 5个月 (1 3～4 5 0个月 )。切除组复发后平均存活期为 13 4个月 ,非切除组为 4 7个月 ,两组差别明显。复发癌切除对复发后生存超过 10个月有统计学意义 (P <0 0 5 )。结论　进展期胃癌根治术后局部复发癌切除可延长病人生存期。Objective To summarize the clinical features of recurrence of advanced gastric cancer after radical resection and study the significance of resection in recurrent cases. Methods The clinical data of 30 patients,who were admitted to our hospital from Aug 1994 to May 2001 with recurrence of advanced gastric cancer after radical resection,were analyzed retrospectively.They were divided into the resected group (7 cases) and the un-resected group (23 cases) according to whether the recurrent tumor was resected or not.Clinical features and prognosis were compared between the two groups.Results All the 30 patients were followed up for a mean period of 21.3 months (3～47.5 months) and a mean relative tumor-free time was found to be 11.5 months (1.3～45.0 months).The mean survival time after postoperative recurrence of gastric cancer of the resected group was 13.4 months;while the un-resected group was 4.7 months,with an obvious difference between the two groups.There was a significant correlation between resection of the local recurrent tumor and the survival time after recurrence longer than 10 months ( P <0.05).Conclusion Curative resection of local recurrent tumor after radical resection of advanced gastric carcinoma can prolong the patient's survival time.

关 键 词：进展期 胃癌 根治术 临床分析 术后复发 

分 类 号：R735.2[医药卫生—肿瘤]