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1．本病发病率有逐年增高趋势,应引起临床重视,做好随访、复查工作,并以胃镜检查为首选,其诊断正确率达95％以上,力争早诊断才能改善其预后。2．我院自1979年5月至1981年5月经纤维胃镜确诊胃癌163例,其中残胃癌7例(占4．2％),确诊本病距首次手术时间平均为11．5年。其临床表现无特征性,预后极差。3．结合文献对残胃癌作了扼要阐述,并提出对良性胃病行手术治疗应严格掌握适应症,尤其对萎缩性胃炎采取手术治疗并不能达到防止胃癌的发生。胃手术时术式建议以毕氏Ⅰ式为首选。
1. The incidence of the disease has increased year by year, should cause clinical attention, do a good job of follow-up, review work, and gastroscopy as the first choice, the diagnostic accuracy of more than 95%, and strive to early diagnosis can improve its prognosis. 2. In our hospital from May 1979 to May 1981, 163 cases of gastric cancer were diagnosed by fiberoptic gastroscopy, including 7 cases of residual gastric cancer (4.2%). The average time from the first operation was 11.5 years. Its clinical manifestations are uncharacteristic and have a poor prognosis. 3. Combining with the literature, this article expounds briefly the residual gastric cancer, and proposes that strict indications should be used for surgical treatment of benign gastropathy. In particular, surgical treatment of atrophic gastritis cannot achieve prevention of gastric cancer. Gastric surgery is recommended to use Bishi I as the first choice.