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本组231例胃癌根治术后复发率为30.7％,早期复发率为20.8％,中期复发率10％,无晚期复发。影响胃癌术后复发的因素,除肿瘤大小、病期、淋巴结转移程度外,瘤肿的生物学特性,宿主的免疫状态,术式的选择和抗癌药物的应用,均有一定的关系。癌呈浸润型生长及细胞分化程度较差,易发生早期复发和腹膜转移复发。而呈膨胀型生长,细胞分化程度较好,易发生肝和淋巴结转移复发。因为不同的大体和病理类型在复发的时间和部位有其趋向性。
The recurrence rate of this group of 231 cases of gastric cancer after radical resection was 30.7%, the early recurrence rate was 20.8%, the recurrence rate was 10% in the middle period, and there was no late recurrence. The factors affecting postoperative recurrence of gastric cancer, in addition to the size of the tumor, the stage of disease, the degree of lymph node metastasis, the biological characteristics of the tumor, the host’s immune status, the choice of surgical methods and the application of anti-cancer drugs have a certain relationship. Infiltrative growth and differentiation of the cells are poor and prone to early recurrence and peritoneal metastasis and recurrence. However, it is inflated and has a good degree of cell differentiation. It is prone to liver and lymph node metastasis and recurrence. Because the different general and pathological types have their tropism at the time and place of recurrence.