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目的总结残胃癌的临床诊断和治疗方法,以提高残胃癌的诊疗效果。方法对2002年1月至2007年12月在邓州市第三人民医院治疗的23例残胃癌患者的病例资料进行回顾性分析。结果本组病例均施行手术治疗,且手术顺利;15例患者施行根治性手术治疗,2例失访,术后5年生存率为29.6%;8例患者施行姑息性手术治疗,1例失访,生存时间为8～19个月,平均(11.9±2.2)个月。结论残胃癌患者术后应定期复查胃镜及病理组织活检,早期诊断和施行根治性手术切除对降低病死率及提高患者的生活质量具有重要意义。
Objective To summarize the clinical diagnosis and treatment of residual gastric cancer in order to improve the diagnosis and treatment of residual gastric cancer. Methods A retrospective analysis was performed on the data of 23 cases of gastric cancer patients who were treated in the Third People ’s Hospital of Dengzhou City from January 2002 to December 2007. Results The patients underwent surgical treatment and the operation was successful. Fifteen patients underwent radical surgery, two were lost to follow-up, and the 5-year survival rate was 29.6%. Eight patients underwent palliative surgery and one lost to follow-up , The survival time was 8 to 19 months, with an average of (11.9 ± 2.2) months. Conclusions Gastric endoscopy and pathological biopsy should be performed regularly after operation for residual gastric cancer patients. Early diagnosis and radical surgical resection are of great significance in reducing mortality and improving quality of life of patients.