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目的 探讨残胃癌的诊断方法和手术治疗方式。方法 对 2 2例残胃癌患者的临床资料进行回顾性分析。结果 残胃癌占同期胃癌的 1.5 % ,其中Ⅱ期 4例、Ⅲ期 6例、Ⅳ期 12例 ;有 3例 (13.6 % )施行姑息性手术 ,12例 (5 4 .5 % )施行根治性手术 ,7例 (31.8% )因肿瘤广泛转移而未行手术或仅行部腹探查术。根治性手术后 1、3、5年生存率分别为 80 .4 %、5 2 .1%、4 0 .9%。结论 定期胃镜和超声胃镜检查是残胃癌早期诊断的关键 ,根治性手术是治疗残胃癌的主要方法。
Objective To investigate the diagnosis and surgical treatment of residual gastric cancer. Methods The clinical data of 22 patients with residual gastric cancer were analyzed retrospectively. Results Gastric stump cancer accounted for 1.5% of gastric cancers in the same period, of which 4 were in stage Ⅱ, 6 in stage Ⅲ and 12 in stage Ⅳ. Palliative surgery was performed in 3 cases (13.6%) and radical treatment in 12 patients (54.5%) Surgery, 7 cases (31.8%) due to extensive tumor metastasis without surgery or only partial abdominal exploration. The 1, 3, 5-year survival rates after radical surgery were 80.4%, 52.1% and 40.9%, respectively. Conclusion Regular gastroscopy and endoscopic ultrasonography gastroscopy is the key to early diagnosis of residual gastric cancer. Radical surgery is the main method of treatment of residual gastric cancer.