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目的总结消化性溃疡远端胃大部切除后食管贲门癌外科治疗的经验。方法外科治疗20例。食管鳞状细胞癌12例(Ⅱa期2例,Ⅱb期5例,Ⅲ期5例),贲门腺癌8例(Ⅱa期3例,Ⅱb期2例,Ⅲ期3例),全部行根治性切除。结果全组无手术死亡,并发症发生率为20.00%(4/20)。食管癌及贲门癌患者1、3、5年生存率分别为100.00%、66.67%、33.33%和100.00%、62.22%、25.00%。结论手术治疗消化性溃疡胃大部切除后食管贲门癌改善了患者生存质量,其远期生存率接近于一般食管贲门癌的手术治疗。
Objective To summarize the experience of surgical treatment of esophageal and cardiac cancer after distal gastrectomy of peptic ulcer. Methods Surgical treatment of 20 cases. Esophageal squamous cell carcinoma in 12 cases (Ⅱa Ⅱ, Ⅱb 5 cases, Ⅲ 5 cases), cardia adenocarcinoma in 8 cases (Ⅱa 3 cases, Ⅱ b 2 cases, Ⅲ 3 cases), all of the radical line resection. Results All the patients died without surgery, the complication rate was 20.00% (4/20). The 1, 3, 5-year survival rates of patients with esophageal and cardiac cancer were 100.00%, 66.67%, 33.33% and 100.00%, 62.22% and 25.00%, respectively. Conclusion Surgical treatment of peptic ulcer esophageal and gastric cardia cancer after subtotal gastrectomy improved the quality of life of patients, its long-term survival rate is close to the general surgical treatment of esophageal and cardiac cancer.