残胃癌的早期诊治22例分析

Analysis for early diagnosis and therapy on remaining stomach camer on 22 cases

目的 探讨残胃癌的早期诊断方法和手术处理方式。方法 总结 2 2例临床资料 ,对比胃镜和钡餐对早期残胃癌的诊断价值 ,针对术中探查及采用的不同术式 ,观察其预后。结果 胃镜对早期残胃癌的确诊率达 90 % ,而钡餐甚低 ,残胃联合脏器切除的患者预后较好。结论 胃术后 5年开始胃镜定期普查是残胃癌早期获诊的关键 。

Objective This sutdy is to discuss the method of early diagnosis of remaining stomach cancer and the treatment of operation.Methods Clinical date of 22 cases were collected.The diagnostic values of gastroscope and barium meal to early remaining stomach cancer were contrasted.Prognosis was observed according to the examinations made during operation and the way of operation available adopted.Results The rate of definite diagnosis of gastrosiope to early remaining stomach cancer was 90% while that of barium meal to it was almost zero.The prognosis was good for patients whose other implicated organs were together resected.Conclusion Perildical examinations by gastroscope began five years after the operation of stomach cancer was done.It was crucial to the early diagnosis of remaining stomack cancer.The immediate selection of the way of operation should be the resection of the remaining stomach cancer and other implicated organs and extensive regional lymphadenectomy. [