| 摘要: |
| ［摘要］ 目的 探讨残胃癌的临床特点、诊断和外科治疗方法。方法 回顾性分析本院51例残胃癌的临床及随访资料，并与同期收治的其他胃癌982例进行对比。结果 本组51例残胃癌中男性为绝大部分，占84.8%(43/51),中位年龄为58岁,首次手术因胃溃疡行BillrothⅡ吻合为主者占96%（48/51）。残胃癌发病在吻合口行再次手术切除率者占56.86%（29/51）,其中行根治性切除率者占25.49%（13/51）,非根治性切除率者占60.78%（38/51）。并发症发生率为5.88%（3/51）,与同期其他胃癌(5.19%)相比差异无统计学意义(χ2=0.223,P=0.637)。根治性切除组1、3、5年生存率分别为84.6%、48.7%和31.6%,非根治性切除组1、3、5年生存率分别为51.61%、0.00%和0.00%，两者比较，差异有统计学显著意义(χ2=4.028,P<0.05)。总1、3、5年生存率分别为78.43%、29.41%和13.73%,与同期其他胃癌对比(74.95%、46.95%和26.07%)，差异无统计学意义(P=0.085)。结论 残胃癌手术治疗安全有效，疗效与胃癌手术治疗相当。 |
| 关键词: 残胃癌 外科治疗 |
| DOI：10.3969/j.issn.1674-3806.2010.02.20 |
| 分类号:R 735.2 |
| 基金项目: |
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| Clinical features and surgical treatment of gastric remnant carcinoma(report of 51 cases) |
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ZHENG Wei-wei.ZHANG Chuan-min,JIN Qin-wen
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Department of Gastrointestinal Surgery, Tumor Hospital of Guangxi Medical University, Nanning 530021,China
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| Abstract: |
| ［Abstract］ Objective To analyze the clinical features, diagnosis and surgical treatment of gastric remnant carcinoma. Methods Fifty-one cases of gastric remnant carcinoma admitted in our hospital were analyzed for the clinical features, diagnosis, surgical treatment and follow-up data retrospectively, and were compared with 982 cases of other gastric cancers in the same time period.Results In gastric remnant carcinoma group,most majority of the patients were male (43 /51), the median age was 58, first-operation in most of patients was BillrothⅡprocedure for gastric ulcer, in 96%（48/51）of the patients the tumor located in the anastomotic stoma, removal rate was 56.86%（29/51） and radical resection rate was 25.49%（13/51）.The incidence of postoperative complications in gastric remnant carcinoma group was 5.88% （3/51）, while the control group was 5.192%, there were no statistical differences between them (P=0.637).In gastric remnant carcinoma group, overall 1、3、5-year survival rate was 78.43%、29.41%、13.73% respectively, compared with the control group (74.95%、46.95%、26.07%, respectively), there was no statistical difference (P=0.085).Conclusion Surgical treatment for gastric remnant carcinoma is safe and effective,and the curative effect amounts to gastric cancer. |
| Key words: Gastric remnant carcinoma Surgical treatment |
