胃癌术后吻合口复发19例临床治疗分析
Anastomotic stoma relapes in gastric cancer patients (19 cases report)
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摘要: 自1965年~1991年，我院共收治19例胃癌术后吻合口复发病人，占同期手术病人的2. 1%.再次根治切除2例，1例生存2年4个月，1例生存4年10个月均健在.6例开腹探查胃空肠吻合，均在丰年内死亡.未手术行化疗9例，4例生存不满1年，5例生存不满6个月.2例行吻合口区放疗4个月内死亡.胃癌术后吻合口复发关键在于早期发现复发征家，争取及早再次行根治性切除.Abstract: From 1965一1991, 19 cases with anastomotic stoma relapse of gastric remnant were admittedin our hospital, which accounts for 2. 1吓of the corresponding period operated gastric cancer pa-tients. one cases, at the secondary operation. were given a radical gastrictomy and are disease freesurvived for 28 month and 58 month respectively, bcases were given abdominal exploration andRonx一y. All died with 6 month. Chemotherapy were given in 9 cases and radiotherapy in two casesand all died with in 1 year. For anastomotic stoma relapse of gastric cancer, early diagnose is veryimportant and at this time the patient has a chance of reoperation and a possibility for cure.
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1 陈寿康.残胃癌.肿瘤防治研究，1974, 3:91 2 林言高.胃手术后再发胃痛实验研究.中华外科杂志1988,26:660 3 张国维，陆永献.原发性残痛12例分析.中华内科杂志，1982, 21·162 4 Seegesser F, et al.Cancer of the gastric stump after partial gastrectomy for ulcer. Cancer. 1972, 29:1150 5 Kim-y, et al. Potentially Fesectable upper gastrointes timal adenocarcinomas evaluation of prognostic factors proc Annu meet. Am Sor Clin Oncol,1992. 11:A 538 6 Regine-wF. et al. Impact of adjuvant therapy on locally adenocarcinoma of the stomach. Int. Radial Oncol Biol Phys,1992,24(5):921
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