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目的探讨残胃癌的诊断及外科治疗方法。方法回顾性分析2005年1月~2009年1月天津市海河医院及天津市肿瘤医院资料完整的残胃癌共计27例患者的临床资料。结果 27例残胃癌患者,男24例,女3例;平均年龄61.2岁;首次胃大部分切除消化道重建方式采用BillrothⅡ式23例,占85.2%。26例行手术治疗,其中18例行残胃癌根治性切除术;根治性切除患者中位生存期为44个月。结论残胃癌多见于BillrothⅡ式术后,胃大部切除术后定期胃镜等相关检查是早期诊断残胃癌的关键,合理的外科手术是治疗残胃癌最有效的手段。
Objective To investigate the diagnosis and surgical treatment of residual gastric cancer. Methods A retrospective analysis of clinical data of 27 patients with complete gastric stump cancer in Tianjin Haihe Hospital and Tianjin Cancer Hospital from January 2005 to January 2009 was retrospectively analyzed. Results 27 cases of gastric cancer patients, 24 males and 3 females; the average age was 61.2 years; the first time the majority of resection of the gastrectomy digestive tract reconstruction using Billroth Ⅱ 23 cases, accounting for 85.2%. Twenty-six patients underwent radical surgery, including radical gastrectomy in 18 patients. The median survival time was 44 months in radical resection. Conclusion The residual gastric cancer is more common in Billroth Ⅱ type surgery, and the related gastroscopy and other related examinations after subtotal gastrectomy are the key to early diagnosis of residual gastric cancer. Reasonable surgery is the most effective treatment for residual gastric cancer.