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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。
This article describes 272 patients undergoing gastric cancer resection. The relationship between their age, TNM clinical pathological stage, surgical methods, whether they received chemotherapy and histopathological type and recurrence at 1, 3, and 5 years were analyzed and summarized. The results showed that the recurrence rate of early gastric cancer after 5 years was 0; and the recurrence rate of IV gastric cancer after 5 years was as high as 92%; of the 130 patients of stage III gastric cancer, 20 were undergoing radical surgery after 5 years The recurrence rate was 65%, and the 5-year recurrence rate after palliative resection was 78.7%; 57 cases received chemotherapy, and the 5-year recurrence rate was 5796, and 7 cases did not undergo chemotherapy for recurrence and metastasis. The rate was 85.7%, statistically significant (P<0.05). Therefore, aggressive gastrectomy and adjuvant chemotherapy are important factors to prevent or reduce the recurrence and metastasis of gastric cancer.