胡建昆 陈志新 陈佳平 彭德恕 陈咏梅 华西医科大学附属第一医院普外科(成都.610041) 中国胃肠外科杂志 1999 0 2 1


    关键词：胃癌；胃切除；癌残留 期刊 zgwcwkzz 0 论著 fur -->


    

摘要 目的 探讨胃癌切除术切端癌残留的原因及预防手段，减少癌残留的发生。方法 回顾性分析我院1988年1月至1993年4月胃癌切除术切端癌残留32例。结果 胃癌切除术切端癌残留率7.47%。上切端癌残留11例，下切端癌残留17例，上下端均有癌残留4例。根治性胃癌切除术癌残留率5.5%，姑息性胃癌切除术癌残留率12.61%，二者经统计学检验有显著差异。远、近端胃切除术切端癌残留率分别为5.86%及13.0%，统计学检验二者有显著性差异。癌残留与癌肿的大体类型、大小、分化程度及浸润深度有关(P<0.05)。结论 浅表广泛型早癌，弥漫浸润型进展癌，癌肿直径>5cm，分化程度低或不良，癌肿侵破浆膜者，易发生癌残留。术中切端冰冻活检，有助于减少胃癌切除术切端癌残留的发生率。

Characteristics and prevention ofpositive stump in gastrectomy for gas tric carcinoma

Hu Jiankun, Chen Zhixin, Chen Jiaping, etal.

    Department of surgery, The First Affiliated Hospital, West China University of MedicalSciences, Chengd u 610041

Abstract Objective Toinvestigate the reason of positive stump in gastrectomy for gastric carcinoma. Method Thirty-two cases with positive stump in gastrectomy for gastric carcinoma from 1988 to 1 993 inthe hospital have been reviewed by retrospective study. Results Positivestump rate (PSR) was 7.47%. the PSR of radical and palliati ve resection were 5.5% and12.61%, respectively (P<0.05). The PSR of dista l and proximal gastrectomy were 5.86%and 13.0% respectively (P<0.05). The PSR was related to gross type, size of cancer, thedegree of differentiation an d infiltration. Conclusion The PSR washigh in the infiltrati ng type, lesions larger than 5 cm in diameter and undifferentiatedcancer. To pr e vent the positive stump in gastric carcinoma, the frozen biopsy should bedone w hen it is necessary.

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