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本文报告残胃165例。良性疾病术后137例;胃癌术后28例。结果显示残胃炎及吻合口炎发生率最高;病理以慢性炎症及萎缩性胃炎最多。检出残胃癌3例;复发癌4例。良性疾病组萎缩性胃炎、不典型增生及慢性炎症的检出率随活检块数增加而升高,内有31例作了血清胃泌素测定,其均值(41.2±5.9pg/ml)较正常对照组(34例)的均值(57.1±6.1pg/ml)为低。还就残胃病变、残胃癌及术式比较等问题进行了讨论,认为内镜随访活检标本块数一般不宜少于7块。
This article reports 165 cases of residual stomach. There were 137 cases of benign disease and 28 cases of gastric cancer. The results showed that the highest incidence of residual gastritis and anastomotic stomatitis; pathological chronic inflammation and atrophic gastritis most. There were 3 cases of residual gastric cancer and 4 cases of recurrent cancer. The detection rate of atrophic gastritis, atypical hyperplasia, and chronic inflammation in the benign disease group increased with the increase in the number of biopsy samples. There were 31 cases of serum gastrin measurement, and the mean (41.2±5.9pg/ml) was higher than normal. The mean (57.1 ± 6.1 pg/ml) was low in the control group (34 cases). The issues of residual gastropathy, residual gastric cancer, and surgical comparison were discussed. It was considered that the number of endoscopic biopsy specimens should not be less than 7 in general.