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目的 探讨残胃癌的外科治疗及预后。方法 对 1980年 1月～ 2 0 0 1年 10月收治的 2 4例残胃癌病例进行回顾性分析。结果 本组残胃癌占同期收治胃癌的 2 .5 % ,手术切除率及根治性切除率分别为 70 .5 %和 4 5 .8% ,根治性切除和姑息性切除病人的 1、3、5年生存率分为 86 .5 %、4 4.2 %、32 .3%及 6 6 .7%、11.1%、0。结论 定期胃镜检查是早期诊断残胃癌的关键 ,根治性切除是外科治疗残胃癌的主要手段 ,亦是影响残胃癌预后的重要因素。
Objective To investigate the surgical treatment and prognosis of gastric stump cancer. Methods A retrospective analysis was performed on 24 cases of residual gastric cancer admitted between January 1980 and October 2001. Results The residual gastric cancer accounted for 2.5% of gastric cancers in the same period, the resection rate and radical resection rate were 70.5% and 45.8% respectively. The radical resection and palliative resection of patients with 1,3,5 The annual survival rates were 86.5%, 4.2%, 32.3% and 6.6%, 11.1%, respectively. Conclusion Regular gastroscopy is the key to early diagnosis of residual gastric cancer. Radical resection is the primary means of surgical treatment of residual gastric cancer and is also an important factor affecting the prognosis of residual gastric cancer.