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报告1986~1995年收治34例皮革胃,均为中晚期肿瘤,其中13例有胃周淋巴结转移,14例有其它脏器转移,7例腹腔广泛转移。术前胃镜检查仅3例诊断皮革胃13.7%(3/22),X线钡餐诊断17例77.3%(17/33),CT检查9例均诊断皮革胃。胃镜诊断皮革胃明显低于X线和CT。本组手术探查27例79.4%(27/34),手术切除13例切除率为48.1%(13/27),未手术7例20.6%(7/34)。全组获随访24例70.5%(24/34),手术切除者1~4年内复发死亡,平均17.5个月,手术探查未切除和未手术者均在2~11个月内死亡,平均3.3个月。结果表明一旦诊断明确应尽早手术治疗,可以延长生存期。
The report from 1986 to 1995, 34 cases of leather stomach were treated, are advanced cancer, of which 13 cases of gastric lymph node metastasis, 14 cases of other organ metastases, 7 cases of extensive abdominal metastasis. In preoperative gastroscopy, only 13 cases (13.2%) were diagnosed leather, 77.3% (17/33) cases were diagnosed by X-ray barium, and 9 cases were diagnosed by CT. Gastroscopy diagnosis of leather stomach was significantly lower than the X-ray and CT. This group of surgical exploration of 27 cases 79.4% (27/34), resection of 13 cases resection rate was 48.1% (13/27), 7 cases of non-surgical 20.6% (7/34). The whole group was followed up for 24 cases 70.5% (24/34), surgical resection within 1 to 4 years of recurrent death, an average of 17.5 months, surgical exploration of unexplained and no surgery were 2 to 11 months of death , An average of 3.3 months. The results show that once the diagnosis should be as soon as possible surgical treatment, can extend the survival.