胃癌术后内镜检查74例分析
Analyse of 74 Cases Endoscopic Examination Postoperation of Stomach Cancer
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摘要: 我院子1984年6月至1990年1月,因胃癌术后行内镜检查74例.从内镜检查中发现残胃有多种病变,尤以残胃再发癌,吻合口炎和吻合口溃疡为多,分别占25.38%、70.57%及6.76%.根据残胃再发癌发病早、发病率高以及在临床上与吻合口炎和溃疡等易混淆的特点,建议于术后2年内每3-6个月进行内镜复查一次,2年以后每年复查一次.本文就如何提高残胃再发癌的内镜检查技术进行详细讨论,以便能得到早期诊断及为再次手术切除提供更多的依据.Abstract: From June 1984 to January 1990 a total number of 74 patients underwent endosopy postoperation of stomach cancer. Endoscopy examination showed 6 cases of norma remnant stomach. 52cases of anastomotic inflammation. 19 cases of gastric remnant .recurrent cancer and 5 cases ofanastomotic ulcer which accounted for 8. 11 %, 70. 57%, 25. 68%, and 6. 76% respectively.Gastric remnant recurent cancer i3 characterized by early occurrence and high epidemiology,and is easily confused with ulcer and anastomitic inflammation. It is proposed that patients be examined once every three to six months for two year after the operation and rexamined once a yearthere after.To achieve early diagnosis and provid more evidence for next operation. This paper discassesthe ways of improving of endoscopic examination for recurrent cancer.