论文部分内容阅读
目的 了解老年胃癌根治术后残胃病变的特点及胃镜随访价值。方法 追踪 81例老年胃癌术后病人 3个月～ 8 5年 ,每例电子胃镜检查 2～ 6次 ,同时测胃pH和HP。结果 炎性病变占 98 77% (80 / 81 ) ,多数几种病变同时存在 ,而临床症状较轻 ;渗血 ,糜烂 ,溃疡 ,残留线头 ,结节 ,吻合口狭窄 ,返流 ,霉菌感染占 2 3 46 % ,2 3 46 % ,6 0 0 % ,1 1 0 0 % ,1 9 75 % ,1 4 81 % ,2 3 46 %和 2 2 2 2 % ,炎症经适当治疗后缓解率 84 0 0 % ;空腹胃液pH(2 2± 0 45)～ (2 6± 0 47) ,远端残胃HP感染 1 9 60 % ,较同期非手术老年组pH 1 6± 0 51 ,HP1 0 0 0 %为高 (P <0 0 5) ;残胃再发癌 1 1 0 0 % (9/ 81 ) ,其中早期癌 5 0 0 % (4/ 81 )。结论 对老年胃癌术后进行胃镜随诊能较准确诊治残胃病变 ,提高残胃早期癌诊断率
Objective To understand the characteristics of residual gastric lesions after radical gastrectomy in elderly patients and the follow-up value of gastroscope. Methods Eighty-one elderly patients with postoperative gastric cancer were followed up for 3 months to 85 years. Each case received 2 to 6 electronic gastroscopy tests. At the same time, stomach pH and HP were measured. Results Inflammatory lesions accounted for 98 77% (80 / 81). Most of the lesions existed at the same time with mild clinical symptoms; bleeding, erosion, ulcers, residual thread, nodules, anastomotic stenosis, reflux, and fungal infection 2 3 46 %, 2 3 46 %, 6 0 0 %, 1 1 0 0 %, 1 9 75 %, 1 4 81 %, 2 3 46 % and 2 22 2 %. Remission rate after proper treatment of inflammation 84 00%; fasting gastric pH (2 2 ± 0 45) ~ (2 6 ± 0 47), distal residual stomach HP infection 196 60, compared with the same period non-surgical elderly group pH 1 6 ± 0 51, HP1 0 0 0% was high (P <0 0 5); recurrent stomach cancer was 110% (9/ 81), with 50% (4/ 81) of early cancer. Conclusions Gastroscopy follow-up for elderly patients with gastric cancer can accurately diagnose and treat residual gastropathy and improve the early diagnosis rate of residual gastric cancer.