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目的 探讨早期胃粘膜下癌治疗和效果。方法 自１９８４ 年至１９９２ 年６ 月，共收治早期胃癌６４例（ 术后病理证实） ，其中粘膜下癌２８ 例，采用：①开腹后先行切除血管的结扎。②标准Ｄ２ 手术加胰上缘腹膜后淋巴脂肪组织的彻底切除。③胃癌高发区胃小弯的次全切除。④术后对残胃的癌前状态积极治疗。⑤免疫治疗和化疗。结果 均随访５ 年以上，全部生存，无转移和复发，粘膜下癌５ 年治愈率达１００ ％ 。结论 对早期胃粘膜下癌改进治疗方法，是提高治愈率的关键。
Objective To explore the treatment and effects of early gastric submucosal cancer. Methods From 1984 to June 1992, a total of 64 cases of early gastric cancer were treated (pathologically confirmed postoperatively), including 28 cases of submucosal cancer. The following methods were used: 1 First, the vascular ligation was performed after laparotomy. 2 Standard D2 surgery plus complete resection of retroperitoneal lymphatic adipose tissue on the upper edge of the pancreas. 3 Subtotal resection of small curvature of stomach in high incidence area of gastric cancer. 4 Postoperative active treatment of the precancerous condition of the remnant stomach. 5 immunotherapy and chemotherapy. Results All patients were followed up for more than 5 years and all survived without metastasis or recurrence. The 5-year cure rate of submucosal cancer was 100%. Conclusion The improvement of early gastric submucosal cancer treatment is the key to improve the cure rate.