残胃癌10例临床分析

Analysis and clinical significance in the cancer of gastric remnant.

目的探讨残胃癌的原因、诊治及临床意义。方法对我院1999年1月-2007年12月10例残胃癌患者的临床资料进行回顾性分析。结果施行根治性手术4例（40%）,姑息性手术3例（30%）,由于广泛转移未行手术或仅行剖腹探查术3例（30%）。根治性手术患者1、3、5年生存率75%、50%、25%。结论根治性切除是治疗残胃癌的有效方法。定期胃镜复查,早期诊断,早期治疗是提高残胃癌预后的关键。

Objective To investigate the reasons、diagnosis and treatment、clinical significance in the cancer of gastric remnant.Methods The clinical materials of 10 patients with cancer of gastric remnant from January 1999 to December 2007 were retrospectively investigated.Results In all patients with cancer of gastric remnant,which of four patients（40%） were done in the radical surgery,which of three patients（30%） were done in the palliative surgery,which of the rest（30%） were not undergo surgery or only laparotomy as a result of the extensive transfer.Radical 1,3,5-year survival rate of patients 75%,50%,25%.Conclusion Radical resection is an effective treatment of gastric stump cancer.To improve the prognosis of patients with the cancer of gastric remnant,periodic review in the gastroscopy,early diagnosis and early treatment are key factors.