残胃癌21例诊治临床分析  

Clinical Analysis of 21 Cases of Gastric Stump Cancer

作　　者：姚路斌[1] 夏加增[1] 周宏[1] 马涛[1] 洪波[1] 李承龙[1] 

机构地区：[1]江苏省无锡市第二人民医院普外科,江苏无锡214002

出　　处：《临床医学工程》2009年第12期98-99,共2页Clinical Medicine & Engineering

摘　　要：目的总结分析残胃癌的临床病理特点以及外科诊断和治疗情况。方法回顾性分析1996年1月至2004年12月收治的21例残胃癌患者一般情况、临床表现、病理特点、预后情况、首次手术情况。结果本组病例中男性占2/3,临床表现无特异性,首次手术以因胃溃疡行BillrothⅡ式吻合为主。21例中,62%残胃癌发生在吻合口,62%为中低分化腺癌。行非根治性手术7例,根治性手术14例。根治性手术术后1、3、5年生存率分别为85.7%、42.9%、21.4%。结论残胃癌高危人群应加强定期随访,做到早期发现、早期诊断,根治性手术可提高患者的生存率。Objective To summarize and analyze the surgical diagnosis and treatment of gastric stump cancer. Methods Clinical data of twenty-one cases of gastric stump cancer admitted during the period from January 1996 to December 2004 were analyzed retrospectively. Results 2/3 of the total cases were male with no specific clinical manifestation, and most of which were carried out billroth II type anastomosis as the first operation because of gastric ulcer. Among these patients we performed non-radical dissection operation in 7 cases and radical dissection in 14 cases. The overall 1, 3, 5 years＇ survival rates were 85.7%, 42.9% and 21.4% respectively. Conclusion High-risk groups with gastric stump cancer should be followed up regularly to ensure early detection and early diagnosis. Radical dissection is an effective therapeutic procedure to improve survival for these patients.

关 键 词：残胃癌 胃大部切除术 胃肿瘤 复发癌 根治切除术 

分 类 号：R735.2[医药卫生—肿瘤]