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残胃癌是胃、十二指肠良性病变胃部分切除术后远期的一个严重并发症。10年来,我院经内镜及病理证实12例,现报道如下。 1 临床资料 1.1 资料来源及方法 我院1980年1月～1992年6月做胃镜检查11080例,其中非手术胃患者10794例,检出胃癌433例(4.01％),而消化性溃疡(PU)胃次全切除术后5年以上患者126例中,检出残胃癌12例(9.52％),明显高于非残胃组(X~2=9.68,P<0.01),其中男10例,女2例;年龄34～68岁,平均46岁;胃溃疡(GU)术后36例,检出残胃癌5例(13.89％),十二指肠溃疡(DU)90例,检出残胃癌7例(7.78％),两组患者残胃癌检出率无显著性差异(x~2=1.114,P>0.05)。 1.2 诊断距首次手术时间和手术方式 5年零8个月～29年,平均13.6年,10年以上10例(83.33％),Billroth Ⅰ式2例,Billroth Ⅱ式10例。 1.3 临床表现、内镜及病理 无规律上腹疼痛6例,反复黑大便4例,消瘦、贫血2例;内镜所见:溃疡型6例,
Gastric stump cancer is a serious complication in the long-term after partial gastrectomy of the stomach and duodenal benign lesions. In the past 10 years, 12 cases have been confirmed by endoscopy and pathology in our hospital, and are reported as follows. 1 Clinical data 1.1 Sources and methods of data 1806 cases of gastroscopy were performed in our hospital from January 1980 to June 1992. Among them, 10794 cases were non-surgical stomach patients. 433 cases (4.01%) of gastric cancer were detected, and peptic ulcer (PU). Among 126 patients with gastric subtotal resection after more than 5 years, 12 cases (9.52%) of residual gastric cancer were detected, which was significantly higher than non-residual group (X~2=9.68, P<0.01). Among them, 10 were male and female. 2 cases; aged 34-68 years old, average 46 years; gastric ulcer (GU) in 36 cases, 5 cases of residual gastric cancer (13.89%), duodenal ulcer (DU), 90 cases of residual gastric cancer 7 In case (7.78%), there was no significant difference in the detection rate of residual gastric cancer between the two groups (x~2=1.114, P>0.05). 1.2 Diagnostic distance from the first operation and surgical methods 5 years and 8 months to 29 years, an average of 13.6 years, 10 years and more than 10 cases (83.33%), Billroth I type 2 cases, Billroth II type 10 cases. 1.3 Clinical manifestations, endoscopy and pathology Abnormal abdominal pain in 6 cases, 4 cases of repeated black stools, 2 cases of weight loss and anemia, endoscopic findings: 6 cases of ulceration,