残胃癌24例临床诊治分析

Clinical diagnosis treatment of 24 cases of gastric stump cancer

目的探讨残胃癌的临床特点及其早期诊断和治疗。方法回顾性分析郑州市第六人民医院2001年10月—2008年6月收集的残胃癌患者的临床资料。结果 24例患者均行手术治疗,根治性切除16例,姑息性切除6例,单纯剖腹探查2例。未手术者分别于4个月内死亡;姑息性切除者分别存活6～12个月;根治性切除术后1、3、5年生存率分别为87.5%、62.5%、31.2%。结论残胃癌早期症状多不典型,对胃大部切除术后病人均需定期复查胃镜。一旦发现癌变均需手术治疗,根治性手术可有效提高生存率。

Objective To discuss gastric remnant cancer clinical characteristics、early diagnosis and treatment.Methods Retrospectively analyze our hospital’s clinical data of patients with gastric remnant cancer in October 2001-2008 in June.Results Totally 24 patients underwent surgical treatment,including 16 cases of radical resection,palliative resection in 6 cases,a simple exploratory laparotomy in 2 cases.Among these patients,no surgery within 4 months,respectively died;palliative resection were alive 6 to 12 months;radical resection 1,3,5 year survival rates were 87.5%,62.5%,31.2%.Conclusions The majority of the early symptoms of gastric remnant cancer is not typical,all of patients need to be regularly gastric endoscopy after most gastric resection.Once cancer required surgery,radical surgery can effectively improve the survival rate.