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胃窦癌手术30例临床观察
引用本文:蔡潇然,曾瑞曦,邓媚英. 胃窦癌手术30例临床观察[J]. 临床合理用药杂志, 2011, 0(15): 19-20
作者姓名:蔡潇然  曾瑞曦  邓媚英
作者单位:广东省电白县沙琅中心卫生院,525432
摘    要:目的探讨胃窦癌根治术对患者预后的影响。方法对30例胃窦癌患者的临床资料进行回顾性分析。结果患者术后复发情况与十二指肠断端有无癌细胞残存密切相关。幽门下切除十二指肠<3 cm时,癌细胞残存达31.2%;切除十二指肠≥3 cm时,十二指肠切除断端无癌细胞残存。结论行胃窦癌根治术时,切除十二指肠尽可能≥3 cm。根据患者的实际情况进行淋巴结清扫、术后辅以化疗可有效提高患者的预后,预防复发。

关 键 词:胃窦癌  癌细胞残存  淋巴结清扫

The clinical observation of surgical treatment on 30 cases patients with gastric antral cancer
CAI Xiao-ran,ZENG Rui-xi,DENG Mei-ying. The clinical observation of surgical treatment on 30 cases patients with gastric antral cancer[J]. Chinese Journal of Clinical Rational Drug Use, 2011, 0(15): 19-20
Authors:CAI Xiao-ran  ZENG Rui-xi  DENG Mei-ying
Affiliation:(.Shalang Health Center of Dianbai County,Dianbai,Guangdong 525432,China )
Abstract:Objective To investigate the effect of gastric antral cancer radical correction on prognosis of patients.Methods Retrospectively analyzed the clinical data of 30 cases patients with retrospectively.Results Postoperative recurrence of duodenal stump with or without residual cancer cells were closely related.Pyloric resection of the duodenum 3cm,the cancer cells remained 31.2%;≥3cm duodenal resection,the cut end of duodenum was no residual cancer cell.ConclusionGastric antral cancer radical surgery,removal of the duodenum should as possible as ≥ 3cm.According to the actual situation of patients with scavenging of lymphaden,adjuvant chemotherapy can improve prognosis of patients,prevention of recurrence.
Keywords:Gastric antral cancer  Remaining of cancer cell  Scavenging of lymphaden
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