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本文报道残胃癌20例,其中残胃全切除14例,胃活检6例.男19例,女1例.年龄40～76岁,平均59.1岁,51岁以上占85％.原发病为十二指肠溃疡6例,胃溃疡13例,十二指肠溃疡合并胃息肉1例.残胃癌全切除14例中,首次术式B—Ⅱ式12例,B—Ⅰ式2例.文献记载B—Ⅱ式比B—Ⅰ式的残胃癌发生率高2～12倍.主要症状有上腹部疼痛10例,吞咽困难,阻塞感5例,吐血、呕血3例,血便2例.残胃癌发生时间;国内文献报道5～50年,平均为15～16年以上.本组为7～40年,平均16.4年.发生部位;吻合口9例,贲门部6例,残胃体5例.
This article reported 20 cases of gastric stump cancer, including total residual gastrectomy in 14 cases, and gastric biopsy in 6. 19 cases for males and 1 for females. The age ranged from 40 to 76 years, with an average age of 59.1 years, 85% of patients over the age of 51. The primary disease was ten. There were 6 cases of duodenal ulcer, 13 cases of gastric ulcer, 1 case of duodenal ulcer and 1 case of gastric polyps. Of the 14 cases of total resection of residual gastric cancer, 12 cases were performed with type B-II, and 2 cases were type B-I. B-II type than B-I style of high incidence of residual gastric cancer 2 to 12 times. The main symptoms of upper abdominal pain in 10 cases, dysphagia, obstruction in 5 cases, hematemesis, vomiting in 3 cases, 2 cases of bloody stool. Time; domestic literature reported 5 to 50 years, an average of 15 to 16 years or more. The group was 7 to 40 years, an average of 16.4 years. Occurrence site; anastomotic 9 cases, cardia 6 cases, residual gastric body in 5 cases.