56例残胃癌早期诊治临床分析  

Early Diagnosis and Treatment of Gastric Stump Cancer is retrospectively analyzed

作　　者：张丽娟[1] 邢宝春[1] 张国庆[1] 

机构地区：[1]河南省新乡医学院第一附属医院介入科,河南卫辉453100

出　　处：《中国民康医学》2008年第13期1425-1426,1473,共3页Medical Journal of Chinese People’s Health

摘　　要：目的：探讨残胃癌的早期诊断和治疗手段。方法：分析56例残胃癌患者的临床资料。结果：残胃癌多在胃十二指肠良性疾病行胃大部分切除术10年后发病，毕Ⅱ式癌发生率82．14％（46／56），毕Ⅰ式癌发生率17．86％（10／56），两种手术方式癌变率呈显著性差异（P〈0．01）；胃镜及组织活检是早期诊断的主要方法。残胃癌的治疗首选根治性手术切除。根治性切除40例中患者生存3年以上27例（67．50％），生存5年以上13例（32．5％）。姑息性切除9例生存12-30月，未能手术切除的7例生存2-14个月。结论：对胃十二指肠良性疾病行胃大部分切除术后10年以上患者进行定期胃镜检查及组织活检，是早期诊断的重要手段。根治性手术切除是早期残胃癌首选的治疗方法，综合治疗则是进展期胃癌的最佳手段，能有效提高患者的生存时间和生存质量。Objective：To study early diagnosis and rational treatment of gastric stump cancer. Methods：The clinical data of 56 cases admitted during the past 20 years were retrospectively analyzed. Results： The onset time was 10 years or more for gastric stump cancer after gastrectomy. The incidence of gastric stump cancer in the patients underwent billroth I operation was obviously higher than that in those underwent billroth I operation （P〈0.005 ）. Gastroscopy and biopsy were the major methods for early diagnosis. Radical operation was the first choice for gastric stump cancer. Conclusions： Regular gastroscopy and tissue bisopy are useful in detecting gastric stump cancer in patients with gastroduodenal diseases after removal benign. Radical operation can improve the survival time and quality of patients with gastric stump cancer.

关 键 词：残胃癌 胃疾病 胃大部切除术 

分 类 号：R735.2[医药卫生—肿瘤]