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目的分析残胃癌的临床病理特征并评价手术对残胃癌患者预后的影响。方法回顾性分析我院1985年1月至2004年3月收治的残胃癌患者的临床资料。结果本组Ⅱ期2例,Ⅲ期9例,Ⅳ期15例。其中5例施行姑息性切除(19.2%),5例因肿瘤广泛转移而不能手术(19.2%),16例施行根治性手术(61.5%)。16例施行根治性手术患者术后1,3,5年生存率分别为75.0%、43.4%和31.3%。结论早期诊断并行根治性残胃切除患者预后较好。
Objective To analyze the clinicopathological features of gastric stump carcinoma and evaluate the effect of surgery on the prognosis of gastric stump carcinoma patients. Methods The clinical data of patients with gastric cancer who were admitted to our hospital from January 1985 to March 2004 were retrospectively analyzed. Results The group Ⅱ in 2 cases, Ⅲ in 9 cases, Ⅳ in 15 cases. Among them, 5 cases underwent palliative resection (19.2%), 5 cases were unable to operate due to extensive tumor metastasis (19.2%), and 16 cases underwent radical operation (61.5%). The 1, 3, 5-year survival rates of the 16 patients who underwent radical surgery were 75.0%, 43.4% and 31.3%, respectively. Conclusion The prognosis of patients with early diagnosis of radical stump resection is better.