残胃癌28例临床诊治分析

Clinical Analysis of Diagnosis and Treatment of Remnant Gastric Cancer: A Report of 28 Cases

目的探讨残胃癌的临床病理特征,诊治方法及预后相关因素。方法回顾性分析28例残胃癌的临床资料。结果28例残胃癌中,根治性切除及姑息性切除者1、3、5年生存率分别为93.3%、73.3%、46.7%及57.1%、14.3%、0,差异均有统计学意义(P<0.05)。Ⅰ、Ⅱ、Ⅲ、Ⅳ期残胃癌5年生存率分别为100.0%、60.0%、18.2%、0,差异有统计学意义(P<0.05)。全组5例发生术后并发症,经治疗后均痊愈。结论胃镜下活检是诊断残胃癌的首要方法;残胃癌的预后与病理分期和能否行根治性切除术密切相关。

Objective To investigate the clinicopathological characteristics,the methods of diagnosis and treatment,as well as the related factors influencing prognosis of remnant gastric cancer.Methods The clinical data of 28 cases with remnant gastric cancer was analyzed retrospectively.Results Of the 28 cases with remnant gastric cancer,the 1-,3-,5-year suvial rates of those accepted radical and palliative resection were 93.3%,73.3%,46.7% and 57.1%,14.3%,0,respectively（P〈0.05）;the 5-year survival rates for stageⅠ,Ⅱ,Ⅲ,and Ⅳ were 100.0%,60.0%,18.2% and 0,respectively（P〈0.05）.Postoperative complications occurred in 5 cases,and was well-healed after treatment.Conclusion Gastroscopy combined with biopsy is a main method to diagnose remnant gastric cancer.The prognosis of remnant gastric cancer has a close correlation with the pathological staging and probability of radical resection.