论文部分内容阅读
目的 探讨残胃癌的临床特点、早期诊断和外科治疗。方法 对 1 986年 1月至 1 999年 6月收治的1 7例病人进行回顾性分析。结果 本组手术切除率为 76 5 % ,根治切除率为 5 8 8% ,Ⅰ、Ⅱ、Ⅲ、Ⅳ期的 3年生存率分别为 1 0 0 %、6 6 7%、5 0 %和 0 ,Ⅰ期的 5年生存率为 1 0 0 %。结论 对 5 0岁以上的男性胃部分切除者 ,建议自术后 1 0年开始每年 1次纤维胃镜加活检随诊。外科治疗以根治性全胃切除加D2 淋巴清扫术为宜。
Objective To investigate the clinical features, early diagnosis and surgical treatment of gastric stumps. Methods A retrospective analysis was performed on 17 patients who were admitted between January 986 and June 1999. Results The resection rate was 76.5% in this group, and the radical resection rate was 58.8%. The 3-year survival rates of stage I, II, III, and IV were 100%, 666.7%, 50%, and 0 respectively. The 5-year survival rate of phase I was 100%. Conclusion For partial gastric resection of men over 50 years of age, it is recommended that follow-up examinations be performed with fiberoptic gastroscopy and biopsy once per year since the beginning of the postoperative year. Surgical treatment with radical total gastrectomy plus D2 lymphadenectomy is appropriate.