摘要
目的 :探讨内镜对手术后残胃随访的临床价值。方法 :对胃手术后 12d～ 32年的 2 6 9例患者行胃镜检查 ,观察记录并进行治疗。结果 :本组患者吻合口炎、残胃炎发生率分别为 5 5 76 %和 36 0 6 % ;因癌肿而行手术切除占全部病例的 78 0 7% ;胃及贲门癌术后复发 32例 ,占切除术后的 14 2 8% ;再生癌 5例 ;均同时对患者的胃石、残余缝线等进行相应治疗。结论 :因癌肿而手术的患者应坚持定期内镜复查 ,内镜不仅可诊断残胃的病变 。
Objective:To study the clinical value of endoscope in following up patients with residual stomach after operation.Methods:269 post operation patients who had received resection of stomach from 12 days to 32 years through endoscope were followed up.At the same time,the necessary treatments were performed.Results:Residual gastric inflammation and anastomotic inflammation rate was 55.76% and 36.06% respectively. 78.07% patients received operation because of cancer.The cancer in 14.28% patients reoccurred(32/269).5 cases occurred new cancer.At the same time,the necessary treatments were performed.Conclusions:Patients with resection of stomach should examined through endoscope periodcially in their life.Endoscope can give these patients not only diagnosis but also treatment.
出处
《腹腔镜外科杂志》
2003年第3期157-158,共2页
Journal of Laparoscopic Surgery
关键词
手术治疗
残胃
内镜检查
诊断
胃手术
Endoscopy,digestive system
Gastric stump
Case report
