目的分析探讨残胃癌的诊断和治疗方式。方法对1991年5月至2007年5月18例残胃癌患者的临床资料进行回顾性探讨。结果18例残胃癌中根治性手术切除治疗10例,非根治性治疗(包括姑息性切除术、短路或造瘘术及探查术8例),根治组患者1、3、5年生存率86%、45%、23%。结论良性溃疡胃次全切除术5年后定期胃镜检查是残胃癌早期诊断的关键。合理的根治性手术可提高残胃癌患者的生存率。 Objective To analyze the diagnosis and treatment of residual gastric cancer. Methods The clinical data of 18 patients with residual gastric cancer from May 1991 to May 2007 were retrospectively reviewed. Results Eighteen patients with radical gastric cancer were treated by radical resection in 10 cases. Non-radical treatment (including palliative resection, short-circuit or ostomy and exploration) was performed in 8 cases. The 1,3 and 5-year survival rates were 86% , 45%, 23%. Conclusions Regular gastroscopy 5 years after subtotal gastrectomy of benign ulcer is the key to early diagnosis of gastric residual stump cancer. Reasonable radical surgery can improve the survival rate of gastric cancer patients.