摘要
本文对272例胃癌切除手术病人．分别就其年龄、TNM临床病理分期、手术方式、是否接受化疗及组织病理类型与1、3、5年复发的关系进行了分析总结。结果表明，早期胃癌术后5年的复发率为0；而Ⅳ期胃癌术后5年的复发率则高达92％；第Ⅲ期胃癌的130例病人中，20例行根治术后的5年复发率为65％，而110例姑息性切除术后的5年复发率为78．7％；57例接受了化疗，其术后5年复发率为5796，而7例未接受化疗的复发转移率为85．7％，经统计学处理，有显著意义（P＜0．05）。所以，积极进行胃癌的根治性手术和辅助化疗，是预防或降低胃癌术后复发转移的重要因素。
Two himdred and seventy-two cases with gastric cancer were analysed to investigate the 1,3,5 year recurrent rate with the following factors:age, TNM clinicopathologic stages: surgical modality,chemotherapy and histopathologic types. These was no recurrence for early stage gasttic cancet, while 92% recurrent rate was found for stage Ⅳ cases. Among 130 cases with stage,Ⅲ5 year recurrent rate was 65% for radical surgery in 20 cases,78.7% for paliative surgery in 110 cases. These was signilicant difference between the cases with chemotherapy and without chemotherapy. The 5 year recurrent rate was 78.7% and 85.7% respectively.It is shown that radical surgery and adjuvant chemotherapy are the major factors to prevent postoperative recurrence for gastric cancer.
关键词
胃癌
根治术
转移率
治疗
Gastric cancer Radidcal surgery Recurrentrte rate
