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作者从421例胃或十二指肠溃疡而作胃部份切除的病人中,用纤维胃镜检查并作多处活检观察术后已存活20～25年的108例患者。患者作纤镜检查时,通常取20份活检标本(均取自残胃远端沿吻合口2厘米内等距处),10份取自小弯侧,10份取自大弯侧,包括前后壁的连接部。经组织学检查诊断为恶性变的有5例,其中4例将残胃全切除,1例部份切除。沿着大弯与空肠的肠系膜处打开,被切下的胃。3个标本
From 421 patients who had gastric or duodenal ulcers for partial gastric resection, the authors used fiberoptic gastroscopy to perform multiple biopsies to observe 108 patients who had survived for 20 to 25 years after surgery. When the patient performs fiberscope examination, usually take 20 biopsy specimens (all taken from the distal end of the stump stomach along the anastomosis 2 cm within the isometric), 10 from the small curve side, 10 from the big curve side, including before and after Wall connection. There were 5 cases of malignant transformation diagnosed by histological examination, of which 4 cases had total resection of residual gas and 1 case had partial resection. Open the stomach along the large bend with the jejunum at the mesentery and cut the stomach. 3 specimens