【摘要】 １９８０年～１９９４年共治疗胃癌并幽门梗阻４６例，其中根治性切除７例，姑息性切除１６例，胃空肠吻合１８例，剖腹探查５例，术后辅以化疗和中草药治疗。结果全组５年生存率８．７％。认为近幽门的胃窦部癌，由于胃窦腔狭小，较小的瘤体亦可引起梗阻，故仍有一定的根治切除率，应尽量努力采取根治的术式；姑息性切除能延长生存期，个别病例还可生存５年以上；捷径手术虽然不能延长生存期，但亦可减轻病人痛苦及精神负担，改善全身状况和提高生存质量。亦对基层医院胃癌外科治疗的现状和努力方向进行了讨论。更多还原

【Abstract】 There were 46 cases of gastric carcinoma with pyloric obstruction surgically treated during 1980-1994.Among them 7 cases received radical resection,16 cases received palliative resection,18 cases received gastro-jegunostomy and 5 cases received exploratory laporatomy.All of these cases received anti-neoplastic chemotherapy and Chinese traditional medicine.5 years survival rate is 8.7%.We believe the carcinoma of gastric antrum is easy to cause obstruction even it is quite small because the antral cavity is fairly narrow.Therefore,there is still some chances for radical resection.Palliative resection could extend the survival time,some even extenede to more than 5 years.Although gastro-jegunotomy could not extend survival time,it could reduce their suffering,improve their general condition and therefore make their life better.The situation of surgical treatment for gastric carcinoma in the local hospitals,both at present and in future,were discussed.更多还原