残胃癌36例治疗分析

目的分析和总结 36例残胃癌的诊断与手术治疗结果.方法回顾性分析 1990～ 2002年我院收治的 36例残胃癌患者的临床表现及治疗情况,并对手术方法、术后生存率进行总结与讨论.结果 36例残胃癌 1、3、5年生存率分别为 61.1%、36.1%、19.4%,其中作根治性手术 1、3、5年生存率分别为 82.3%、47.1%、35.3%.结论残胃癌临床症状缺乏特异性,早期诊断、早期治疗是提高预后的关键.联合脏器切除是残胃癌最有效的手术方法.

Clinical analysis of 36 cases gastric stump carcinoma

Objective To analysis surgical diagnosis and treatment effect of gastric stump carcinoma. Methods The clinical manifestations and therapies of36cases of gastric stump carcinoma in our hospital from1990to2002were analysed retrospectively and sum up the surgery style and the poetoperative survival rate. Results The postoperative survival rates of1,3and5years in36case gastric stump carcinoma were61.1%,36.1%and19.4%respectively and were82.3%,47.1%and35.3%respectively in cases received radical resection. Conclusion No specific symptoms were identified and early diagnosis and treatment were important to improve the prognosis of gastric stump carcinoma.Radical resection united the invaded surround organs was most effective surgery style for gastric stump carcinoma.