【摘要】目的探讨
残胃癌的临床诊治。方法从临床表现、病因、危险因素、治疗及预后等方面对65例残胃癌进行回顾性分析。结果残胃癌临床表现无特异性，术前需由纤维胃镜及胃钡餐造影确诊。65例残胃癌均行手术治疗，其中32例行全胃切除，两次手术间隔时间最长25年，最短6年，平均11.7年。其预后与原发胃癌无明显差异。结论残胃癌的危险因素与残胃的癌前病变及胃肠吻合方式（Billroth-Ⅱ式）有一定关系；纤维胃镜及胃钡餐造影是确诊残胃癌的可靠方法；手术是根治残胃癌的唯一方法；加强随访工作，改进手术方式可提高残胃癌的生存率。
【关键词】残胃癌；
胃肿瘤；诊断；治疗
Clinicalanalysisof65casesofgastricremnantcarcinoma
LUYao,WANGWenyue,ZHOULei,etal.
DepartmentofGeneralSurgery,ChinaJapanFriendshipHospital,Beijing100029,China
【Abstract】ObjectiveTodiscussclinicaldiagnosisandsurgicaltreatmentexperienceforgastricremnantcarcinoma（GRC）.Methods65casesGRCunderwentresectionweresummarizedincludingriskfactors,clinicalmanifestation,diagnosis,surgicaltreatmentandprevention.ResultsGRChadnotspecialclinicalmanifestation,andwouldbediagnosedbygastrofiberscopeandgastricbariummealbeforeoperation.32casesunderwenttotalgastricresection,theintervaltimebetweenthetwooperationsofGRCwere25yearsofthelongest,and6yearsoftheshortest.ConclusionTheprecancerouslesionandBillrothⅡaresomedangerousfactorsofGRC;gastrofiberscopeandgastricbariummealwerethereliablediagnosismeasures;surgicaltreatmentwasthesaferadicalcurativeprocedure;itcanimprovethesurvivalratetostrenthentheworkoffollowupandtoreformoperationprocedure.......
