摘要
目的 :探讨残胃癌的早期诊断和外科治疗。方法 :回顾性分析自 1990~ 1999年收治的 2 2例残胃癌病人 ,其中 2 1例病人得到随访 ,随访率 95 .4 % ,Ⅰ、Ⅱ、Ⅲ、Ⅳ期病人的 3年生存率分别为 10 0 % ,5 0 % ,33.3%和 0 ,Ⅰ期5年生存率为 10 0 %。结论 :对胃部分切除术的男性患者 ,从术后 10年开始应每年进行一次胃镜检查并取组织活检 ,而根治性胃全切除术是其主要的外科治疗方法。
Objective: To explore early diagsis and surgical treatment of gastric remnant cancer. Methods: 22 cases from January 1990 to September was retrospectively analyzed 1999. Results: 21 of them got the follow up survey of the results of surgery. The percentage of the follow up survey reached 95.4%. 3 year survival rate for stage Ⅰ,Ⅱ,Ⅲ,Ⅳwas 100%, 50%, 33.3% and 0 respectively. 5 year survival rate for stage I was 100%. Conclusion: An annual screen program using flexible endoscopy with multiple random biopsy is recommended for male patients form 10 years after gastrectomy. Total gastrectomy is the main surgical treament methods.
出处
《武汉大学学报(医学版)》
CAS
2003年第1期74-75,共2页
Medical Journal of Wuhan University