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目的:探讨残胃癌和残胃再发癌有效的手术治疗方法方法:回顾性研究了19例残胃癌和8例残胃再发癌患者的临床病理资料. 结果:残胃癌和残胃再发癌的可切除率、根治性切除率分别是84.2%、78.9%和62.5%、25%.残胃癌的中数生存期是(19.3±2.4)mo,平均生存期是(29.8±6.0)mo,1、3、5 a生存率分别为61.8%、22.6%、13.8%;其中15例根治切除后1、3、5 a 生存率分别为80.1%、28.8%、22.4%;4例姑息性手术存活均不到1 a.残胃再发癌的中数生存期是(13.0±4.3)mo,平均生存期是(17.5±4.1)mo,1、3、5 a生存率分别为60.8%、9.8%、0%; 6例姑息性手术存活均不到2 a.残胃癌和残胃再发癌中根治性切除者的生存时间均显著长于非根治性切除者(P<0.05).残胃癌和残胃再发癌的生存时间统计学上无显著差异(P=0.261). 结论:根治性切除可提高残胃癌和残胃再发癌患者的生存时间,是有效的治疗方法.
Objective: To investigate the effective surgical treatment of residual gastric cancer and residual gastric cancer.Methods: The clinicopathological data of 19 cases of residual gastric cancer and 8 cases of residual gastric cancer were retrospectively studied.Results: The mean resection rates were 84.2%, 78.9%, 62.5%, 25%, respectively.The median survival time of residual gastric cancer was (19.3 ± 2.4) mo and the average survival time was (29.8 ± 6.0) , 3,5 a survival rates were 61.8%, 22.6%, 13.8%; of which 15 cases after radical resection 1,3,5 a survival rates were 80.1%, 28.8%, 22.4%; 4 cases of palliative surgery were survival The mean survival time was (17.5 ± 4.1) months, and the survival rates at 1, 3 and 5 days were 60.8% and 9.8%, respectively 0%, and 6 cases of palliative surgery were less than 2 years survival time of radical resection of residual gastric cancer and residual gastric cancer were significantly longer than those of non-radical resection (P <0.05) There was no statistically significant difference in the survival time of recurrent cancer (P = 0.261) .Conclusion: Radical resection can improve the survival time of patients with residual gastric cancer and recurrent gastric stump, which is an effective treatment.