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目的:探讨残胃癌的临床病理特征及外科治疗方法。方法:回顾性分析苏州大学附属第一医院2002-01/2009-06外科治疗的90例残胃癌的临床资料。结果:所有的患者都给予手术治疗,残胃手术切除率及根治性切除率分别为86.7%和51.1%。根治性切除46例中,1、3、5 a生存率分别为87.8%、51.2%、31.5%。结论:合理的手术方式的选择是外科治疗残胃癌的关键;临床病理特征是影响患者术后生活质量的重要因素。
Objective: To investigate the clinicopathological features and surgical treatment of gastric stumps. Methods: The clinical data of 90 patients with residual gastric cancer surgically treated in the First Affiliated Hospital of Suzhou University from January 2002 to June 2009 were retrospectively analyzed. RESULTS: All patients were treated with surgery. The residual gastrectomy and radical resection rates were 86.7% and 51.1%, respectively. Among the 46 patients undergoing radical resection, the 1-, 3-, and 5-year survival rates were 87.8%, 51.2%, and 31.5%, respectively. Conclusion: The choice of reasonable surgical methods is the key to the surgical treatment of gastric stumps; the clinical pathological features are important factors affecting the quality of life of patients after surgery.