论文部分内容阅读
目的探讨残胃癌的发病特点及其诊治方法。方法对1998年至2007年我院收治的36例残胃癌患者的临床资料进行回顾性分析。结果36例病例中行根治性手术14例(38.9%),姑息性手术11例(30.6%),剖腹探查3例(8.3%),8例(22.2%)因身体条件较差及术前发现肿瘤已广泛转移而未行手术。根治性切除组1、3、5年生存率分别为100%、77.6%、46.4%;非根治性切除组1、3、5年生存率分别为58.3%、23.4%、0。结论残胃癌多发生于B illrothⅡ式胃大部切除术后10年以上,胃镜及胃黏膜活检是确诊残胃癌的主要手段,根治性手术可提高患者的生存率。
Objective To investigate the characteristics of the disease and its diagnosis and treatment methods. Methods The clinical data of 36 patients with gastric stumps treated in our hospital from 1998 to 2007 were retrospectively analyzed. Results Among 36 cases, radical surgery was performed in 14 cases (38.9%), palliative operation in 11 cases (30.6%), exploratory laparotomy in 3 cases (8.3%), and 8 cases (22.2%) due to poor physical condition and tumors found before surgery. Has been widely transferred without surgery. The 1-, 3-, and 5-year survival rates of radical resection group were 100%, 77.6%, and 46.4%, respectively. The 1-, 3-, and 5-year survival rates of non-radical resection group were 58.3%, 23.4%, and 0, respectively. [Conclusion] The residual gastric cancer mostly occurs in the ill-illth II type subtotal gastrectomy for more than 10 years. Gastric endoscopy and gastric mucosa biopsy are the main methods for the diagnosis of residual gastric cancer. Radical surgery can improve the survival rate of patients.