中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (02): 154-155.

• 论著 • 上一篇    下一篇

胃癌术后局部复发原因分析及其对策（附127例分析）

赵成功， 赵久武， 王仕琛   

  1. 中国人民解放军105医院普外科，安徽合肥230031
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-03-03 发布日期:2009-03-03

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-03-03 Published:2009-03-03

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摘要：

目的 探讨胃癌复发的部位、时间和危险因素，为预防胃癌术后复发提供依据。 方法 回顾性分析2000年1月至2006年1月中国人民解放军105医院收治127例复发性胃癌的临床资料，对其复发部位、复发时间及其病理类型和手术方法进行探讨。结果 复发原因与肿瘤病理类型及手术根治范围有关。局部复发病例中以腹膜腔复发多见，胃外复发次之；Bormann分型以2、3、4型复发多见；低分化肿瘤复发多见，全胃切除后除腹膜腔复发外局部复发少；胃外复发病例中以贲门周围和肝十二指肠韧带即第No.1、12淋巴结复发多见。 结论 完善围手术期处理可以减少胃癌术后局部复发，对于胃癌局部复发病例应积极行手术治疗。

关键词: 胃癌, 复发 , 淋巴结

Abstract:

Reason and treatment of recurrent gastric cancer: an analysis of 127 cases ZHAO Cheng-gong, ZHAO Jiu-wu, WANG Shi-chen. Department of General Surgery, the 105 th Hospital of People’s Liberation Army, Hefei 230031, China Corresponding author：ZHAO Cheng-gong, E-mail：zcg105@sohu.com Abstract Objective To explore the position, intervals and risk factors of recurrent gastric cancer. And provide the basis for preventing the recurrence after gastrectomy for gastric cancer. Methods The clinical data of 127 patients with recurrent gastric cancer admitted from January 2000 to January 2006 at the 105th hospital of People’s Liberation Army were analyzed retrospectively. The recurrent position, intervals, clinicopathologic characters of the tumors and operative fashion of primary tumors were analyzed. Results Recurrence causations were correlated with clinicopathologic characters of the tumors and the operative radical cure area. Celiac were much more than outer stomach in the part recurrence. The Ⅱ, Ⅲ, Ⅳ type were much more in Bormann classification. Low polarization tumors were much more. Part recurrence were less after complete gastrectomy except celiac recurrence. Cardia circumambience and liver-duodenum ligaments (No. 1, 12) lymph node were more in the outer stomach recurrence. Conclusion Consummate perioperative period treatment may decrease recurrence of gastric cancer. Active surgical treatment should be performed in the local recurrence cases of gastirc cancer.

Key words: gastric cancer, recurrence；lymph node