残胃癌65例临床分析
残胃癌,,残胃癌；胃肿瘤；诊断；治疗,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 探讨残胃癌的临床诊治。方法 从临床表现、病因、危险因素、治疗及预后等方面对65例残胃癌进行回顾性分析。结果 残胃癌临床表现无特异性，术前需由纤维胃镜及胃钡餐造影确诊。65例残胃癌均行手术治疗，其中32例行全胃切除，两次手术间隔时间最长25年，最短6年，平均11.7年。其预后与原发胃癌无明显差异。结论 残胃癌的危险因素与残胃的癌前病变及胃肠吻合方式(Billroth-Ⅱ式)有一定关系；纤维胃镜及胃钡餐造影是确诊残胃癌的可靠方法；手术是根治残胃癌的唯一方法；加强随访工作，改进手术方式可提高残胃癌的生存率。【关键词】 残胃癌；胃肿瘤；诊断；治疗
Clinical analysis of 65 cases of gastric remnant carcinoma
LU Yao,WANG Wenyue,ZHOU Lei,et al.
Department of General Surgery,China Japan Friendship Hospital,Beijing 100029,China
【Abstract】 Objective To discuss clinical diagnosis and surgical treatment experience for gastric remnant carcinoma(GRC).Methods 65 cases GRC underwent resection were summarized including risk factors,clinical manifestation,diagnosis,surgical treatment and prevention.Results GRC had not special clinical manifestation,and would be diagnosed by gastrofiberscope and gastric barium meal before operation.32 cases underwent total gastric resection,the interval time between the two operations of GRC were 25 years of the longest,and 6 years of the shortest.Conclusion The precancerous lesion and BillrothⅡ are some dangerous factors of GRC;gastrofiberscope and gastric barium meal were the reliable diagnosis measures;surgical treatment was the safe radical curative procedure;it can improve the survival rate to strenthen the work of followup and to reform operation procedure. ......
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