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目的:探讨残胃癌的临床特点、病因和手术治疗。方法:分析了16例残胃癌病因、临床表现。结果:首次胃切除以胃溃疡为主占62.5%。首次手术B~Ⅱ式13例占81.2%,确诊残胃癌距首次手术时间平均为23.7年。残胃癌发生在吻合口占50%,残胃小弯侧43.8%,贲门部为6.25%。结论:胃部良性病行手术治疗时以B~I式为首选,定期胃镜检查残胃癌高危人群,手术治疗应以根治性全胃及联合脏器切除术是提高残胃癌预后的关键。
Objective: To investigate the clinical features, etiology and surgical treatment of gastric stump cancer. Methods: The etiology and clinical manifestations of 16 cases with gastric stump were analyzed. Results: The first gastrectomy with gastric ulcer accounted for 62.5%. The first operation B ~ Ⅱ type accounted for 81.2% 13 cases, residual gastric cancer diagnosed from the first operation time averaged 23.7 years. Stomach cancer occurred in anastomosis accounted for 50%, gastric remnant curvature side 43.8%, cardia Department 6.25%. Conclusions: B - I is the first choice for surgical treatment of benign gastric diseases. Regular gastroscopic examination of high risk gastric residual gastric cancer patients. Surgical treatment of radical total stomach and combined organ resection is the key to improve the prognosis of gastric residual gastric cancer.