论文部分内容阅读
目的探讨残胃癌的定义及临床病理特征与预后。方法回顾性分析2000年1月至2005年12月期间,对52例经手术的残胃癌病例资料及随访结果。结果52例中平均年龄59岁。胃原发疾病为良性(RGCB)者16例,恶性(RGCC)者36例。根据第一次手术时胃疾病的良恶性,把残胃癌(RGC)分为RGCB或RGCC。有42例患者接受了根治性手术(残胃全切除术33例,联合脏器切除9例),根治性切除率为80.77%;姑息性手术12例。3年总生存率36.5%,其中RGCB的3年存活率为50.0%,RGCC的3年存活率为30.6%,两者之间无统计学差异(P>0.05)。结论RGCB或RGCC在临床病例特征及3年存活率无显著差异。
Objective To investigate the definition, clinicopathological features and prognosis of gastric stump cancer. Methods Retrospective analysis of the data of 52 cases of gastric residual gastric cancer and the follow-up results from January 2000 to December 2005. Results The average age of 52 cases was 59 years old. 16 cases of primary gastric cancer with benign (RGCB), and 36 cases of malignant (RGCC). Residual gastric cancer (RGC) is divided into RGCB or RGCC according to the benign and malignant gastric diseases in the first surgery. 42 patients underwent radical surgery (total residual gastric resection in 33 cases, combined with resection of the organs in 9 cases), radical resection rate was 80.77%; palliative surgery in 12 cases. The 3-year overall survival rate was 36.5%. The 3-year survival rate of RGCB was 50.0%, and the 3-year survival rate of RGCC was 30.6%. There was no significant difference between the two (P> 0.05). Conclusions The characteristics of RGCB or RGCC in clinical cases and the 3-year survival rate were not significantly different.