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目的探讨残胃病变内镜及临床特征。方法分析150例残胃患者的临床及胃镜检查检查结果,统计残胃病变的构成比,各种病变的临床及胃镜特征;比较毕罗氏-Ⅰ式及毕罗氏-Ⅱ式术后病变的差异。结果 150例残胃胃镜检查结果残胃及吻合口炎110例(73.33%);残胃及吻合口溃疡40例(26.67%);残胃癌17例(11.33%)。毕罗氏-Ⅱ式残胃及吻合口炎86.67%、溃疡31.67%、残胃癌18.33%均高于毕罗氏-Ⅰ式64.44%、22.22%、6.67%(P<0.05)。结论残胃病变较多,应严格掌握胃及十二指肠良性病变手术治疗的适应症,尽量选用毕罗氏-Ⅰ或Rou-Y胃肠吻合术,重视胃镜检查及活检。
Objective To investigate the endoscopic and clinical features of gastric stump lesions. Methods The clinical and endoscopic findings of 150 patients with gastric residual disease were analyzed. The constituent ratio of residual gastric lesions and the clinical and gastroscopic characteristics of various lesions were analyzed. The differences of the postoperative pathological changes between the Biluo-Ⅰ and Biluo-Ⅱ were compared. Results Of the 150 cases, there were 110 cases (73.33%) with residual stomach and anastomotic stoma. 40 cases (26.67%) had residual stomach and anastomotic ulcer and 17 cases (11.33%) had residual gastric stump. The rates of Bileau-Ⅱ residual gastric stoma and anastomotic stoke were 86.67%, 31.67% in ulcer and 18.33% in gastric residual gastric cancer, respectively, which were 64.44%, 22.22% and 6.67% (P <0.05) respectively. Conclusions There are many residual gastric lesions. The indications for the surgical treatment of benign lesions of the stomach and duodenum should be strictly controlled. Gastrointestinal endoscopy and biopsy should be emphasized on the use of Bioluo-I or Rou-Y gastrointestinal anastomosis.