术后残胃癌诊断及治疗分析

The Analysis of Diagnosis and Treatment of Gastric Remnant Carcinoma

目的探讨术后残胃癌的诊断及外科治疗方法。方法回顾性分析内江市第三人民院2002年1月至2008年2月收治的24例残胃癌患者的临床资料。结果24例病例中行根治性手术15例(62.5%),姑息性手术8例(33.3%),急诊剖腹探查1例(4.2%)。根治性切除组1、3、5年生存率分别为100%、76.4%、45.7%,姑息切除组1、3、5年生存率分别为57.2%、22.8%、0。统计分析显示两组间差异有显著性(P<0.05)。结论残胃癌多发生于毕Ⅱ式胃大部切除术后10年以上,胃镜及胃黏膜活检是确诊残胃癌的主要手段,定期对胃大部切除术患者行胃镜复查,是残胃癌早期诊断的主要方法,根治性手术可提高患者的生存率。

Objective Investigate the diagnosis and surgical treatment of gastric remnant carcinom. Methods Retrospective analysis of the third people＇s hospital of Neijing from January 2002 to February 2008 were treated 24 cases of gastric remnant carcinom in patients with clinical data. Results All of 24 cases, 14 cases of radical surgery（62.5%）, 8 cases of palliative surgery （33.3%）, emergency exploratory laparotomy Example 1 （4.2%）. Radical resection group 1, 3, 5 year survival rates were 100%, 76.4%, 45.7%, palliative resection group 1, 3, 5 year survival rates were 57.2%, 22.8%, 0. Statistical analysis showed that there is difference between the two groups was significant （P〈0.05）. Conclusions Gastric remnant carcinom occurred in many Billroth Ⅱ gastrectomy after more than 10 years, endoscopy and gastric biopsy confirmed gastric remnant carcinom are the main means of regularly subtotal gastreetomy patients gastroscopic review, are the early diagnosis of gastric remnant carcinom.The main method, radical surgery can improve the survival rate of patients.