原发性残胃癌(附七例报告)

1．本病发病率有逐年增高趋势,应引起临床重视,做好随访、复查工作,并以胃镜检查为首选,其诊断正确率达95％以上,力争早诊断才能改善其预后。2．我院自1979年5月至1981年5月经纤维胃镜确诊胃癌163例,其中残胃癌7例(占4．2％),确诊本病距首次手术时间平均为11．5年。其临床表现无特征性,预后极差。3．结合文献对残胃癌作了扼要阐述,并提出对良性胃病行手术治疗应严格掌握适应症,尤其对萎缩性胃炎采取手术治疗并不能达到防止胃癌的发生。胃手术时术式建议以毕氏Ⅰ式为首选。

Primary residual gastric cancer:with a re-port of 7 cases.

As the incidence of gastric cancers had begun to increase, more attentions had to be paid to the following aspects to diagnose early and to improve the prognosis.Follow-up of patients treated,cheek of all cases,and gastroscopic examin- ation should be the first of choice.Thus the rate of definite diagnosis had shown more than 95%. There were 163 cases of gastric cancer diagnosed gastroscop- ically in this hospital from 1979-1981,in which 7 cases were residual gastric cancers(4.2%),the mean duration from diagn- osis to surgical intervention was 11.5 years.Its clinical mani- festation was nonspecific.The prognosis was extremely bad. The author thought that before the decision of surgical in- tervention was made for any benign gastric disease,especially the atrophic gastritis,the indications should be handed strictly, for the development of cancer could not be prevented by surgery.