【摘要】 目的　探讨残胃癌的发病规律以提高临床诊治水平。方法　对收治的 12例病人进行回顾性分析。结果　良性病变行BillrothⅡ式胃切除术后残胃癌发生率 80 .3 % ,胃镜加活检的确诊率为 91.7% ,X线钡餐造影的确诊率为 6 6 .7% ,本组手术切除率 83.3 % ,根治性切除率 6 6 .7% ,术后 3年生存率为 33.3 % ,5年生存率为 8.3 %。结论　对胃大部切除术后 ,尤其是BillrothⅡ式术后 10年以上的患者 ,都应每年 1次胃镜加活检随诊。治疗仍以手术为主更多还原

【Abstract】 Objective To explore the clinical features of gastric remnant carcinoma (GRC)to improve diagnosis and treatment. Method The clinical data of 12 patients with GRC were analysed retrospectively. Results The incidence of GRC after benign gastric diseases treated with Billroth Ⅱ anastomosis was 80.3%.The definite diagnosis rate for flexible endoscopy with biopsy and barium meal X ray examination was 91.7% and 66.7%,respectively.The resection rate of GRC was 83.3% and radical resection rate was 66 7%.Postoperative 3 year and 5 year survival rates were 33 3% and 8 3%, respectively. Conclusion An annual examination using flexible endoscopy with biopsy is recommended for patients with gastrectomy,especially those with Billroth Ⅱ anastomosis after 10 years.Operation is the main treatment for GRC.更多还原