胃大部切除术后残胃癌的临床分析(附21例)
【摘要】 目的 探讨残胃癌的临床特点及其外科治疗方法。方法 回顾性分析我院收治21例残胃癌患者的临床资料。结果 21例患者在我院临床治愈12例，好转5例，无效4例，术后生存情况：仅行剖腹探查或胃空肠吻合8例均于术后3~6个月死亡；姑息性切除2例，术后分别生存10个月1例，1年1例；残胃癌根治术11例，术后生存1~3年2例，生存3~5年4例，生存5年以上5例。结论 胃大部分切除术后要定期内镜检查，可早期发现残胃癌，及时行残胃癌根治术，可改善患者的生活质量和延长患者的生存期。【关键词】
残胃；恶性肿瘤；外科治疗
The clinical analysis of gastric remnant after subtotal gastrectomy(with 21 cases)
MO Qi-zhang. Department of Gastrointestinal Surgery，Affiliated Ruikang Hospital of Guangxi College of Traditional Chinese Medicine，Guangxi 530011，China
【Abstract】 Objective
To investigate the clinical characteristics of gastric stump cancer and itswas invalid surgical treatment. Methods 21 patients in our hospital clinical cure in 12 cases, 5 cases improved, 4 cases.Postoperative survival: only laparotomy or gastrojejunostomy in 8 patients were 3 to 6 months after death,palliative resection in 2 cases.Postoperative survival of 10 months, respectively, in 1 case, 1 year in 1 case; remnant gastric cancer 11 cases, survival 1 to 3 years in 2 cases, survival of 3 to 5 years in 4 cases, 5 patients survived for 5 years.Results Gastrectomy after endoscopic examination regularly, the early detection of residual cancer, gastric cancer surgery in time lines residues can improve the quality of life of patients and prolong survival of patients. ......
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