摘要
目的总结和分析残胃癌的临床病理特点以指导外科诊断和治疗。方法分析了该院1983年～2005年38例残胃癌的一般情况、临床表现、病理特点、预后情况、首次手术情况以及病变距首次手术时间间隔等。结果本组病例中男性占绝大部分(35/38),平均年龄62.6岁,临床表现无特异性,首次手术以因胃溃疡行BillrothⅡ吻合为主,68.4%发病在吻合口,65.8%为中低分化腺癌,再次手术切除率81.6%。结论胃良性病变行胃大部切除时如用BillrothⅠ式可能降低残胃癌的发生率,胃术后患者应加强随诊;早诊断和治疗是改善预后的关键;治疗以手术切除为首选,并尽可能行根治术。
[Objective] This study was to summarize and analyze the clinicopathological characteristics of GRC for better diagnosis and treatment. [Methods] Thirty-eight cases of gastric remnant carcinoma admitted from 1983 to 2005 to our department were studied for the clinical and pathological features, prognosis, and the length of the postoperative interval, [Results] Among 38 patients, there were 35 males with average age of 62.6 year-old. There was no special characteristic in clinical manifest. The main reason for the first gastrectomy was gastric ulcer, and the patients mainly received Billroth Ⅱ anastomosis, 68.4% of the GRC occurred near the area of anastomotic stomas, and 65.8% of the cases in pathology is median or low grade adenocarcinoma. The resection of GRC rate in this serier was 81.6%. [Conclusion] Choosing Billroth Ⅰ for benign gastrectomy may to some extent avoid the happening of GRC. Eady diagnosis and treatment is important for the prognosis. Removal operation is the first choice for the treatment, radical resection being the best choise.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2006年第18期2812-2814,2818,共4页
China Journal of Modern Medicine
关键词
残胃癌
胃大部切除术
胃肿瘤
复发癌
gastric reninant carcinoma
gastrectomy
gastric cancer
recurrence
