摘要
目的 分析和总结残胃癌的外科诊断和治疗情况。方法 回顾分析了 2 8例残胃癌发病率、临床表现及治疗情况。结果 首次胃切除以胃溃疡为主 ,占 6 4 3%。首次手术B Ⅱ式 2 2例 ,占 84 6 % ,确诊残胃癌距首次手术时间平均为 2 8 3年。残胃癌发生在吻合口占 5 0 % ,残胃小弯侧 4 2 9% ,贲门部 7 1%。结论 胃良性病行手术治疗时以B Ⅰ式为首选 ;定期胃镜检查残胃癌高危人群 ,早期诊断、早期治疗是提高残胃癌预后的关键。
Objective To analyze and sum up surgical diagnosis and treatment of gastric stump carcinoma. Methods Twenty eight cases of gastric stump carcinoma receiving treatment were reviewed with regard to morbidity,clinical manifestation and outcomes.Results Of the 28 patients,64 3% underwent the first gastrectomy mainly for gastric ulceration,and 84 6%(22 cases) received Billroth Ⅱ operation.Mean time from the first operation to the diagnosis of gastric stump carcinoma were 28 3 years.Fifty percent of the stump carcinoma occurred at the anastomotic stomas,42 9%at the residual lesser curvature and 7.1%at the cardia.Conclusion Billroth Ⅰ is the first of choice for benign gastric lesions.Regular gastroscopic screening in high risk populations,early diagnosis and early treatment are of critical importance in improving prognosis of gastric stump carcinoma.
出处
《中国实用外科杂志》
CSCD
北大核心
2002年第8期488-489,共2页
Chinese Journal of Practical Surgery
