胃癌术后复发转移的超声检查

Ultrasonography for patients with recurrent or metastasis of gastric carcinoma after operation

目的探讨超声检查在胃癌术后随访中的临床意义。方法回顾分析251例胃癌根治术后1个月至10年胃内外复发和转移者的随访性超声检查资料。结果残胃复发56例(22.3%),腹腔淋巴结转移59例(23.5%),浅表淋巴结转移11例(4.4%),腹水64例(25.5%),腹壁转移9例(3.6%),肝转移61例(24.3%),卵巢转移7例(2.8%),胰腺及后腹膜转移32例(12.7%),脾转移3例(1.2%),门静脉癌栓3例(1.2%),下腔静脉癌栓2例(0.8%),肾转移1例(0.4%),甲状腺转移1例(0.4%)。结论超声检查在胃癌术后随访中能比较及时发现胃内外复发和转移病灶,为胃癌术后抗复发治疗提供影像学依据。

Objective To explore the clinical value of post-operative uhrasonography for patients with gastric cancer. Methods The follow-up uhrasonographie reports of 251 patients receiving gastric cancer operation from one month to ten years ago were analyzed. Results Fifty-six eases of recurrent cancer （22.3%） , 59 cases of abdominal lymph node metastasis（23.5% ） , 11 cases of superficial lymph nodes metastasis（4.4% ） , 64 cases of ascites （25, 5% ） ,9 cases of abdominal wall metastasis （3.6%） , 61 cases of hepatic metastasis （24, 3% ） , 7 cases of ovarian metastasis （2.8%） ,32 cases of pancreas and retroperitoneal metastasis（ 12.7% ） , 3 cases of spleen metastasis （ 1.2% ） , 3 cases of portal vein tumor thrombosis （ 1.2% ） , 2 cases of inferior vena eava tumor thrombosis （0.8%） , 1 case of kidney metastasis （0.4%） and 1 case of thyroid metastasis （0.4%） were found. Conclusion The follow-up uhrasonography for the patients receiving gastric cancer operation can help to discover timely recurrent complication inside and outside of stomach. It will provide the image information for prevention and treatment of the recurrence of gastric cancer.