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目的探讨残胃癌的临床诊治措施。方法回顾分析39例患者的临床资料。结果 39例中,临床治愈37例,好转1例,无效1例。随访时间6个月至5年,行手术根治性切除的10例患者生存5年以上者为6例;未能手术和行姑息性肿瘤切除的8例患者均在1.5年内死亡。1、3、5年生存率分别为75.0%、48.0%、25.0%。结论早期发现和早期诊断对提高残胃癌的手术切除率至关重要。为减少残胃癌的发生,必须严格掌握溃疡病手术适应证并选择合理的手术方式,手术后要定期做内镜检查,以便早期发现残胃癌,早期治疗,以改善预后。
Objective To investigate the clinical diagnosis and treatment of residual gastric cancer. Methods The clinical data of 39 patients were retrospectively analyzed. Results Among 39 cases, 37 cases were clinically cured, 1 case improved and 1 case ineffective. The follow-up time ranged from 6 months to 5 years. Of the 10 patients undergoing radical resection, 6 survived more than 5 years and 8 patients who failed to undergo surgery and palliative tumor resection all died within 1.5 years. The 1, 3, 5 year survival rates were 75.0%, 48.0% and 25.0% respectively. Conclusion Early detection and early diagnosis of residual gastric cancer surgery to improve the rate of surgery is essential. In order to reduce the occurrence of residual gastric cancer, it is necessary to strictly grasp the surgical indications of ulcer disease and select a reasonable surgical approach. Endoscopic surgery should be done regularly after surgery so that residual gastric cancer and early treatment can be found early to improve the prognosis.