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目的探讨胃癌的临床特点及治疗法。方法对手术病理证实的118例胃癌患者的临床资料进行回顾性分析。手术方式采用全胃切除Roux-en-Y加袋术(RYP)。118例患者中临床表现为上腹部疼痛,嗳气及腹胀,占74.55%;胃镜检查确诊或疑诊为胃癌。占94.07%;癌灶位于胃窦部,占48.20%;早期胃癌占22.88%,行胃癌根治本者占88.13%。结果全组无手术死亡病例。吻合口瘘3例,反流性食管炎4倒,切口裂开2例,左侧胸腔积液2例。大部分患者自我感觉良好,饮食接近正常。结论胃钡餐造影和胃镜检查是诊断胃癌的主要手段;治疗仍以手术为主,而术前详细检查查、充分准备,术中细致操作、充分引流,术后加强护理是手术成功的关键。
Objective To investigate the clinical features and treatment of gastric cancer. Methods The clinical data of 118 cases of gastric cancer confirmed by surgery and pathology were retrospectively analyzed. Surgical approach using total gastrectomy Roux-en-Y bagging (RYP). 118 cases of clinical manifestations of upper abdominal pain, belching and bloating, accounting for 74.55%; gastroscopy confirmed or suspected of gastric cancer. Accounting for 94.07%; cancer located in the antrum, accounting for 48.20%; early gastric cancer accounted for 22.88%, gastric cancer radical accounted for 88.13%. Results The whole group of patients without surgical death. Anastomotic fistula in 3 cases, reflux esophagitis 4 down, incision split in 2 cases, 2 cases of left pleural effusion. Most patients feel good about themselves and their diet is nearly normal. Conclusion Gastro-barium meal angiography and endoscopy are the main methods for diagnosis of gastric cancer. The treatment is still based on surgery. However, detailed examination before operation, adequate preparation, detailed operation and full drainage are the keys to successful operation.