中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2009年
38期
2705-2707
,共3页
王征%周志祥%梁建伟%张兴茂%孟建彬
王徵%週誌祥%樑建偉%張興茂%孟建彬
왕정%주지상%량건위%장흥무%맹건빈
胃多发癌%诊断%外科学%预后
胃多髮癌%診斷%外科學%預後
위다발암%진단%외과학%예후
Multifocal gastric carcinomas%Diagnosis%surgery%Prognosis
目的 探讨胃多发癌的临床病理特征、外科治疗方法及其预后.方法 对1999年1月-2007年12月手术治疗的22例胃多发癌患者的临床资料进行回顾性分析,并结合文献进行生存分析.结果 胃多发癌多见高龄男性,早期胃癌占28.9%,共施行根治性切除18例,姑息性切除4例,1、3、5年生存率分别为80.9%、52.4%、28.6%.结论 胃癌患者应于术前及术中进行仔细检查,避免漏诊,经合理治疗胃多发癌的治疗效果与单发胃癌相似.
目的 探討胃多髮癌的臨床病理特徵、外科治療方法及其預後.方法 對1999年1月-2007年12月手術治療的22例胃多髮癌患者的臨床資料進行迴顧性分析,併結閤文獻進行生存分析.結果 胃多髮癌多見高齡男性,早期胃癌佔28.9%,共施行根治性切除18例,姑息性切除4例,1、3、5年生存率分彆為80.9%、52.4%、28.6%.結論 胃癌患者應于術前及術中進行仔細檢查,避免漏診,經閤理治療胃多髮癌的治療效果與單髮胃癌相似.
목적 탐토위다발암적림상병리특정、외과치료방법급기예후.방법 대1999년1월-2007년12월수술치료적22례위다발암환자적림상자료진행회고성분석,병결합문헌진행생존분석.결과 위다발암다견고령남성,조기위암점28.9%,공시행근치성절제18례,고식성절제4례,1、3、5년생존솔분별위80.9%、52.4%、28.6%.결론 위암환자응우술전급술중진행자세검사,피면루진,경합리치료위다발암적치료효과여단발위암상사.
Objective To investigate the clinicopathological characteristics, therapeutic principles and prognosis of multifocal gastric carcinomas. Methods The data of 22 patients with multifocal gastric carcinomas sursically treated at our hospital from January 1999 to December 2007 were reviewed retrospectively. Results The multifocal gastric carcinomas occurred frequently in the elderly men: the percentage of early stage gastric carcinoma was 28.9%. Eighteen patients received radical resection while 4 patients palliative resection. The 1, 3 and 5-year survival rates were 80.9%. 52.4%and 28.6%respectively. Conclusions A thorough gastric examination should be made before and during resection so as to avoid a missing diagnosis. The postoperative survival in patients with multifocal gastric carcinomas is similar to those with a solitary lesion.
