摘要
目的:探讨残胃癌的临床诊断和合理手术治疗。方法:对36例残胃癌患者进行临床诊断和手术治疗。结果:首次胃切除以胃溃疡为主占64%,胃癌占36%。首次手术以毕-Ⅱ式占80%,毕-Ⅰ式占20%。本组手术切除率为100%,根治切除术为78%。残胃癌发生在吻合口占14%,残胃小弯侧占29%,残胃大弯侧占57%。结论:残胃癌宜早诊断,早治疗,合理手术方案,是残胃癌预后的关键。
Objective：Toexplore the diaghosis and the rational trealment for gastric stump carcinoma. Methods：The clinical diagnosis and trecatment of 36 cases for gastric cancer. Results： While conducting gasteretomy for the first time, gastric ulcer mainly takes up 64% and for gastric carcinoma are 36%. For the first operation 80% of patients belony to Brillroth - Ⅱ , while the rest 20% are Billroth - Ⅰ . 100% of them were conducted gastereomy of whom 75% were radical resection of gastric stump carcinoma. 14% of gastric cancer is in post gastreelomy hermorrhage, 29% in curvatura ventriculi minor and 57% of them in curvature ventriculi maior. Conclusion： Gastric cancer showld be earlier diaynoised and earlier treated. The rational treatment is the Key Points for recovery.
关键词
残胃癌
根治切除术
淋巴结转移
gastric stump carcinoma
radi- cal resection
lymph node metastasis
