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目的探讨残胃癌的易发因素、特点及治疗。方法对1998-2008年间22例残胃癌病例的临床资料进行回顾分析。结果残胃癌发生率男性高于女性,发病时间距首次手术5年以上,多发于BillrothⅡ式胃大部分切除术后,且多发生于吻合口。时间越长,残胃癌发生率越高。结论残胃癌的临床症状缺乏特异性,早期诊断、早期治疗以及选择合理的术式是提高生存率的重要措施。
Objective To investigate the predisposing factors, characteristics and treatment of gastric stump cancer. Methods The clinical data of 22 cases of gastric residual gastric cancer from 1998 to 2008 were retrospectively analyzed. Results The incidence of residual gastric cancer was higher in males than in females. The onset time was more than 5 years after the first operation, which occurred mostly after Billroth type Ⅱ gastric resection and occurred mostly in the anastomosis. The longer, the higher the incidence of gastric stump cancer. Conclusion The clinical symptoms of gastric stump lack of specificity, early diagnosis, early treatment and selection of reasonable surgical procedures is an important measure to improve the survival rate.