中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
10期
1576-1577
,共2页
残胃癌%特征特点%诊断%治疗效果%预后
殘胃癌%特徵特點%診斷%治療效果%預後
잔위암%특정특점%진단%치료효과%예후
Residual stomach%Characteristic features%Diagnosis%Treatment effect%Prognosis
目的：：分析残胃癌患者临床特征，探讨其临床诊断及治疗的最佳方式，并分析其效果及安全性。方法：选择残胃癌患者32例为研究对象，回顾性分析其临床资料。结果：根治性切除术治疗患者术后存活率明显高于姑息性切除术及腹部探查+空肠造瘘术治疗患者(P<0.05)，患者术后出现感染(肺部、切口)、吻合口狭窄、胸腔积液、脓胸、肠梗阻、食管-空肠吻合口瘘等并发症，经过及时对症治疗均痊愈。结论：残胃癌好发部位为吻合口部，常见于胃大部分切除术后，男性患者多于女性，患者就诊时已经进展为中晚期，根治性手术能提高患者存活率，早发现早治疗和预后密切相关。
目的：：分析殘胃癌患者臨床特徵，探討其臨床診斷及治療的最佳方式，併分析其效果及安全性。方法：選擇殘胃癌患者32例為研究對象，迴顧性分析其臨床資料。結果：根治性切除術治療患者術後存活率明顯高于姑息性切除術及腹部探查+空腸造瘺術治療患者(P<0.05)，患者術後齣現感染(肺部、切口)、吻閤口狹窄、胸腔積液、膿胸、腸梗阻、食管-空腸吻閤口瘺等併髮癥，經過及時對癥治療均痊愈。結論：殘胃癌好髮部位為吻閤口部，常見于胃大部分切除術後，男性患者多于女性，患者就診時已經進展為中晚期，根治性手術能提高患者存活率，早髮現早治療和預後密切相關。
목적：：분석잔위암환자림상특정，탐토기림상진단급치료적최가방식，병분석기효과급안전성。방법：선택잔위암환자32례위연구대상，회고성분석기림상자료。결과：근치성절제술치료환자술후존활솔명현고우고식성절제술급복부탐사+공장조루술치료환자(P<0.05)，환자술후출현감염(폐부、절구)、문합구협착、흉강적액、농흉、장경조、식관-공장문합구루등병발증，경과급시대증치료균전유。결론：잔위암호발부위위문합구부，상견우위대부분절제술후，남성환자다우녀성，환자취진시이경진전위중만기，근치성수술능제고환자존활솔，조발현조치료화예후밀절상관。
Objective:Analyze the clinical features of patients with residual stomach cancer and investigate the clinical diagnosis and the best way of treatments and analyze its effect and safety.Methods:Choose 32 cases residual stomach cancer patients as the research object,retrospectively analyzed their clinical data.Results:Radical resection patients with postoperative survival rate is obviously higher than that of the palliative resection and abdominal probe + jejunum ostomy patients (P<0.05),the patient the postoperative infection (lung,notch),anastomotic stenosis,pleural effusion and empyema,intestinal obstruction,esophageal-jejunum anastomosis (complications such as,through timely symptomatic treatment are healed.Conclusion:Residual stomach good hair parts of anastomotic department,common to most of the stomach after resection,male patients more than women,patients attending doctors have evolved for period,radical surgery can improve survival in patients with early detection,early treatment and prognosis is closely related to clinical value is very profound.
