摘要
目的：分析和总结残胃癌外科治疗结果，方法：回顾分析了１９８６年至１９９７年间我院校的１９例残胃癌的临床表现，治疗及生存结果，结果：残胃癌缺乏相地异的症状，５３．８％患者术前不同程度的贫血，手术切除率及根治切除率分别为７８．９％和６８．４％，手术并发症率为２６．３％，该组叫有５年生存率及１３例根治手术后的５年生存率分别为２３．５％和３６．４％，该组４组Ｉ期，Ⅱ期，病例术后均得到长期生存；
Objective:To evaluate the results of surgical treatment for gastric stump carcinoma.Methods:Clinical manifestations,therapeutic,and survival characteristics were analyzed retrospectively,of the 19 patients admitted from 1986 to 1997.Results:No specific symptoms were identified.53.8% patients had anemia of various degree,preoperatively.Resection and radical resection rate were 78.9% and 68.4% respectively.Postoperative morbidity was 26.3%.The overall 5-year survival rate and that of 13 cases undergone radical resection were 23.5% and 36.4%,respectively.Long term survival had been achieved in 4 patients with Ⅰor Ⅱ lesions.The 1-、2-、5-year survival rate of the 9 patients with Ⅲ or Ⅳ lesions undergone radical resection were 77.8%、44.4% and 22.2%,respectively.None of the five patients undergone palliative or exploratory operations survived more than one year.Conclusion:Surgery,especially radical resection,is an effective strategy for treatment of gastric stump carcinoma.In early patients,long term survival can be expected;in advanced cases,it can prolong the life expectancy.Early diagnosis is of the most importance to improve the prognosis.The postoperative morbidity rate is relatively high.Improving the patients' preoperative nutritional condition is essential to lower it down.
出处
《医师进修杂志》
1999年第2期19-21,共3页
Journal of Postgraduates of Medicine
关键词
残胃癌
胃镜检查
胃肿瘤
外科手术
Gastric stump carcinoma\ Radical resection\ Anemia\ Gastroscopy
