摘要
目的:总结残胃癌的临床诊治体会。方法:回顾性分析39例残胃癌的临床资料,其中4例行剖腹探查术,10例行姑息性手术,25例根治性残胃切除。结果:本组39例均经手术治疗后痊愈出院。4例行剖腹探查术者术后2~10个月内死亡,平均存活时间为5.5个月;行姑息性切除10例存活时间6~26个月,平均生存期为15个月;根治性切除25例1、3、5年生存率分别为84.0%、56.0%、40.0%。结论:早期诊断及根治性外科手术治疗是决定残胃癌预后的关键。
Objective:To summarize the experience of clinical diagnosis and treatment of gastric stump cancer.MethodszThe clinical data of 39 cases of gastric stump cancer were retrospectively analyzed,including 4 cases of perirenal abscess palliative surgery,10 cases of palliative surgery,25 cases of radical resection of the residual stomach.Results:39 cases in this group all were cured and discharged after surgery.4 cases of perirenal abscess palliative surgery postoperatively died during 2-10 months.mean survival time was 5.5 months,survival time of 10 cases of palliative surgery was 6-26 months.mean survival time was 15 months.The survival rate of 1,3,5 years for 25 cases of radical excision were respectively 84.0%.56.0%,40.0%.Conclusion:Early diagnosis and radical surgical treatment is the key of gastric stump cancer prognosis.
出处
《中国医药导刊》
2010年第3期423-423,428,共2页
Chinese Journal of Medicinal Guide
关键词
残胃癌
诊断
外科手术
预后
Gastric stump cancer
Diagnosis
Surgery
Prognosis