摘要
目的分析消化性溃疡患者接受胃大部切除术后残胃癌发生的危险因素。方法胃大部切除术后残胃癌和未患残胃癌的患者各60例，比较两组的常见临床特征。结果残胃癌以术后10—20年内最为高发。相比较对照组，发生残胃癌的患者以十二指肠溃疡为原发病，首次手术时接受毕Ⅱ式吻合术的比例较高（P〈0．05）。结论消化性溃疡接受胃大部切除的患者在术后10年后应继续随访，对于有胃十二指肠返流的患者的随访应予以加强。
Objective To examine the clinical risk factors of gastric stump carcinoma （GSC） in the patients who underwent gatrectomy for peptic ulcer. Methods Clinical data about 60 patients who were diagnosed as having GSC or not were retrospectively analyzed. The common clinical features were compared between the two groups. Results GSC was mostly developed between 10 to 20 years after primary gestrectomy. Patients who underwent Billroth Ⅱ reconstruction in their primary gastrectomy and had duodenal ulcer as primary disease were more likely to develop GSC （ P 〈 0.05 for both）. Conclusion Follow up should be continued 10 years and more after gastrectomy,espeeially for the patients with gastroduodenal reflux.
出处
《临床外科杂志》
2010年第10期665-666,共2页
Journal of Clinical Surgery
关键词
残胃癌
消化性溃疡
毕Ⅱ式吻合术
危险因素
gastric stump carcinoma
peptic ulcer
Billroth II gastrectomy
risk factors
