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目的探讨残胃癌的临床特点及其外科治疗方法。方法回顾性分析我院收治21例残胃癌患者的临床资料。结果 21例患者在我院临床治愈12例,好转5例,无效4例,术后生存情况:仅行剖腹探查或胃空肠吻合8例均于术后3~6个月死亡;姑息性切除2例,术后分别生存10个月1例,1年1例;残胃癌根治术11例,术后生存1~3年2例,生存3~5年4例,生存5年以上5例。结论胃大部分切除术后要定期内镜检查,可早期发现残胃癌,及时行残胃癌根治术,可改善患者的生活质量和延长患者的生存期。
Objective To investigate the clinical features and surgical treatment of residual gastric cancer. Methods Retrospective analysis of 21 cases of gastric cancer patients admitted to our hospital clinical data. Results 21 patients were clinically cured in our hospital in 12 cases, 5 cases improved, 4 cases ineffective, postoperative survival: only laparotomy or gastrojejunostomy in 8 cases were 3 to 6 months after the death; palliative resection 2 Cases, postoperative survival of 10 cases in 1 case, 1 year in 1 case; radical gastric cancer in 11 cases, 1 to 3 years after surgery in 2 cases, survival of 3 to 5 years in 4 cases, 5 years of survival in 5 cases. Conclusions Most endoscopic resection of the stomach to be carried out regularly endoscopy, early detection of residual gastric cancer, gastric cancer radical surgery can be timely, can improve the quality of life of patients and prolong the survival of patients.