摘要
目的 :探讨胃部分切除术后残胃病变的发病学特点。方法 :回顾性分析我院 1980年至 2 0 0 1年 2 0年间 846例胃部分切除术后患者的内镜资料及临床表现。结果 :残胃病变中以残胃炎及吻合口炎最常见 ,占 89 2 % ,其次为胆汁反流 ,占5 8 5 % ,再次为残胃及吻合口溃疡 ,占 16 9% ;残胃癌的发生率为 4 8%。此外还有食管贲门炎 ,缝线残留等。残胃病变的临床表现主要为上腹部疼痛占 6 0 3% ,恶心、呕吐及 或纳差、消瘦占 19 1% ,呕血、黑便占 11 3%。结论 :为减少残胃病变 ,尤其是残胃癌的发生 ,要严格掌握胃切除的指征 ,而且手术后定期复查胃镜 ,早期发现残胃病变。
Objectives:To study the endoscopic and clinical characteristics of gastric stump lesion after partial gastrectomy.Methods:The endoscopic and clinical data of 846 cases of gastric stump lesion encountered in our hospital within past 20 years were analysed restrospectively.Results:The most common causes of gastric stump lesion was stumpitis and stomitis,the detecting rate was 89 2%.The second was bile reflux(58 5%),and the third was gastric stump and stoma ulcer(16 9%).The detecting rate of gastric stump cancer was 4 8%.The clinical characteristics of gastric stump lesion was:upper abdominal pain is 60 3%,nausea,vomiting and lack of appetite or loss weight is 19 2%,and hematemesis or black stool is 11 3%.Conclusion:The results suggest that strict indication of gastrectomy should be emphasized to reduce the causes of gastric stump lesion,especially gastric stump cancer,and long-term gastroscopy follow-up is necessary after partial gastrectomy in order to find the early stage of gastric stump lesion.
出处
《广西医学》
CAS
2002年第7期969-971,共3页
Guangxi Medical Journal
