残胃癌25例诊治分析

Diagnose Treatment Analyze of Remmant Stomach Cacinoma in 25 Patients

目的:探讨残胃癌发生的可能因素及早期诊断。方法:对本院10年来25例残胃癌的临床资料进行回顾性分析。结果:B-Ⅱ式手术残胃癌的发生率比B-I式高出 5.22倍.与术后经过时间呈正相关。本组残胃癌发生时间平均为手术后15.1年。结论:择期手术尽量推迟至45岁以上。尽量避免行B-Ⅱ式手术。加强胃术后患者随访。

Purpose: To investigate associated factors and early diagnosis of remnant stomach carcinoma. Methods: The clinical data of 25 patients with remnant stomach carcinoma in a 10- years period was analysed retrospectively. Results: The occurrence rate of remnant stomach cancer was higher in Billroth Ⅱ than that in Billroth Ⅰ, and was associated with duration after gastrectomy. The mean time of occurrence of remnaut stomach cancer was 15.1 year after operation. Conclusions: Time of selective operation should be delayed as mnchas possible until the age of patient is above 45 years. Billroth Ⅱ operation should be avoided and the patients with gastrectomy be followed up continuesly.