中晚期胃癌126例手术治疗分析

来源 :中国社区医师 | 被引量 : 0次 | 上传用户:shires2006
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解放军98医院1983~1986年经手术治疗的中、晚期胃癌126例。男101例,女25例。年龄22~75岁,农民占68.2%。上腹隐痛76.2%,食欲下降69%。Ⅱ期8.75,Ⅲ期6.66%,Ⅳ期25%。根治切除87例,剖腹探查39例,病理:腺癌74例,粘液癌11例,低分化癌25例,未分化癌9例,溃疡恶变5例,多发癌2例。随访67例,3年已死45例。尚生存的22例。作者认为早期诊断对胃癌很重要,认为对40岁以上常有胃部不适者,应作胃镜检查及胃气钡双重造影 In the People’s Liberation Army 98 Hospital from 1983 to 1986, 126 cases of advanced and advanced gastric cancer were treated. There were 101 males and 25 females. Ages 22 to 75 years, farmers accounted for 68.2%. Abdominal pain was 76.2%, and appetite was decreased by 69%. Stage II was 8.75, Stage III was 6.66%, Stage IV was 25%. There were 87 cases undergoing radical resection and 39 cases undergoing exploratory laparotomy. Pathology: 74 cases of adenocarcinoma, 11 cases of mucinous carcinoma, 25 cases of poorly differentiated carcinoma, 9 cases of undifferentiated carcinoma, 5 cases of ulcer malignant transformation, and 2 cases of multiple carcinoma. 67 patients were followed up and 45 patients died within 3 years. There are still 22 cases of survival. The author believes that early diagnosis is very important for gastric cancer. It is considered that gastroscopy and gastroparesis should be performed for those who are more than 40 years of age with stomach upset.
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