【摘要】 目的　探讨双介入法治疗胃窦癌胃大部切除术后残端复发的疗效及临床价值。方法　 11例远端胃癌胃大部切除术后残端复发并狭窄患者 ,其中 2例伴腹水 ,3例肝转移。均行内支架及腹腔动脉化疗 ,2例腹水者首次行腹腔化疗 ,肝转移者行碘油栓塞。根据病人情况重复腹腔动脉化疗。所有病例均获随访。结果　 6个月生存率 63 6% ,12个月生存率 45 % ,18个月生存率18%。平均生存期 12个月。结论　动脉化疗并支架植入治疗残胃癌 ,可以延长患者的生存期 ,提高生存质量更多还原

【Abstract】 Objective To investigate the curative effect and the clinical value of double intervention in treating recurrent cancer on the stump of stomach after radical operation of gastric antrum.Methods 11 patients with recurrent cancer and stricture on the stump of stomach were treated with stent implantation and celiac arterial chemotherapy. 2 patients with ascites were treated with intravenous chemotherapy at first ,3 patients with hepatometastatic carcinorma were treated by embolization with lipiodol.All patients were retreated with celiac chemotherapy according to their healthy state after three or four weeks. All patients were fllowed-up.Results After therapy 6 months,12 months and 18 months survival rate were 63 6%,45% and 18% respectively,average survive 12 months.Conclusions Celiac arterial chemotherapy and stent implantation can prolong the survival period of the patients with recurrent cancer on the stump of stomach after radical operation for carcinoma of gastric antrum and improve their living quality.更多还原