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目的 探讨残胃癌的早期诊断方法和手术处理方式。方法 总结 2 2例临床资料 ,对比胃镜和钡餐对早期残胃癌的诊断价值 ,针对术中探查及采用的不同术式 ,观察其预后。结果 胃镜对早期残胃癌的确诊率达 90 % ,而钡餐甚低 ,残胃联合脏器切除的患者预后较好。结论 胃术后 5年开始胃镜定期普查是残胃癌早期获诊的关键 ,残胃联合脏器切除及广泛的淋巴结廓清应为首选术式
Objective To explore the early diagnosis and surgical treatment of gastric stumps. Methods Twenty-two cases of clinical data were compared. The diagnostic value of gastroscope and barium meal for early residual gastric cancer was compared. The intraoperative exploration and the different surgical methods were used to observe the prognosis. Results The endoscopic diagnosis rate of early residual gastric cancer was up to 90%. The barium meal was very low and the residual gastroenteral organ resection had a better prognosis. Conclusion The regular gastroscopy screening after 5 years of gastric surgery is the key to early diagnosis of residual gastric cancer. Residual gastric cancer combined with organ resection and extensive lymph node dissection should be the preferred surgical procedure.