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目的:通过外科手术治疗20例残胃癌患者,观察并分析外科手术对治疗残胃癌的临床疗效。方法:通过从患者的病因、临床表现、手术过程中的危险因素、治疗期间以及预后等多方面对20例残胃癌患者进行全方位的回顾性分析。结果:进行为期2年的随访,1年的总生存率为66.7%,2年的总生存率为45.2%,Ⅰ、Ⅱ、Ⅲ、Ⅳ期的1年生存率为100%、80%、83.3%、33.3%;Ⅰ、Ⅱ、Ⅲ、Ⅳ期的2年生存率为100%、60%、50%、20%。结论:胃良性溃疡的次全切除手术在治疗后定期进行胃镜检查是早期诊断和预防残胃癌的关键。根治性手术是治疗残胃癌的主要根治性手段。应加强医院的随访工作,通过随访和改进手术的治疗方式来提高残胃癌患者的术后生存率。
Objective: To treat 20 patients with residual gastric cancer by surgical operation and to observe and analyze the clinical effect of surgery on residual gastric cancer. Methods: A retrospective analysis of 20 patients with gastric residual cancer from various aspects such as the etiology, clinical manifestations, risk factors during operation, duration of treatment and prognosis were retrospectively analyzed. Results: The 2-year follow-up showed that the 1-year overall survival rate was 66.7% and the 2-year overall survival rate was 45.2%. The 1-year survival rates were 100%, 80% and 83.3 %, 33.3%. The 2-year survival rates of stage Ⅰ, Ⅱ, Ⅲ and Ⅳ were 100%, 60%, 50% and 20% respectively. Conclusion: Gastroscopy after subtotal resection of gastric benign ulcer is the key to early diagnosis and prevention of residual gastric cancer. Radical surgery is the main cure for residual gastric cancer. The hospital follow-up work should be strengthened to improve the postoperative survival rate of gastric residual gastric cancer patients through follow-up and improvement of surgical treatment.