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本文报告7例原发性残胃癌(占同期溃疡病手术的1.9％),9例残胃假肿瘤(占同时胃手术病例的8.5％)。分别讨论了这两种并发症的定义,发病机理,X线检查方法与价值,并着重讨论X线特征与鉴别诊断。 残胃癌好发于残胃吻合口部,其次为贲门部。早期残胃癌与早期胃癌表现一致。进展期以Bormann氏Ⅲ型为多。限局性充盈缺损时要与残胃假肿瘤鉴别。假肿瘤都位于残胃吻合口,轮廓光滑、胃壁柔软,粘膜无破坏。
This article reports 7 cases of primary residual gastric cancer (1.9% of the same period of ulcer surgery) and 9 cases of residual gastric cancer (8.5% of simultaneous gastric surgery cases). Discussed the definition of these two complications, pathogenesis, X-ray examination methods and values, and focused on the X-ray features and differential diagnosis. Residual gastric cancer occurred in the anastomosis of the residual stomach, followed by the cardia. Early stage gastric cancer is consistent with early gastric cancer. The more advanced stage is Bormann’s type III. The localized filling defect should be differentiated from the gastric residual tumor. The false tumors were all located in the anastomosis of the residual stomach. The contours were smooth, the stomach wall was soft, and the mucosa was not damaged.