40例Ⅲ型胃类癌的临床观察.docVIP

精品论文 参考文献 40例Ⅲ型胃类癌的临床观察 黄强（湖北省襄阳市襄州区人民医院内三科 441000） 　　【摘要】目的 探讨Ⅲ型胃类癌的临床表现、内镜特征、病理特点和治疗方法，以提高Ⅲ型胃类癌的早期诊治疗水平。方法 对本院确诊的40例Ⅲ型胃类癌患者的临床资料进行回顾性分析总结。结果 本组Ⅲ型胃类癌患者以消化系统症状和出血或转移等肿瘤相关症状为主要临床表现，内镜下表现为半球形或息肉样，表面常伴有充血、糜烂等，触之质硬，常单个存在。行内镜治疗28例，行胃大部切除术治疗7 例，发生肝转移采取化疗姑息治疗3例，死于广泛转移2例。结论 Ⅲ型胃类癌早期无特异表现，内镜检查及病检是早期诊断的关键。早期正确判断胃类癌类型，有助于正确选择治疗方法，提高患者生存率。 　　【关键词】胃类癌 临床观察 　　【中图分类号】R735.2 【文献标识码】A 【文章编号】1672-5085（2013）39-0117-02 　　 Clinical observation of 40 cases of type Ⅲ gastric carcinoidHuang qiang 　　 Xiangyang City, Hubei Province, Xiangzhou District Peoples Hospital three subjects 　　【Abstract】Objective: To investigate the clinical manifestations Ⅲ gastric carcinoid tumors, endoscopic features, pathological features and treatment methods to improve early diagnosis treatment level Ⅲ gastric carcinoid tumors. Methods: The clinical data of 40 cases of Ⅲ hospital diagnosed gastric carcinoid patients were analyzed retrospectively. Results: The group Ⅲ gastric carcinoid tumors and patients with digestive symptoms such as bleeding or metastatic tumor-related symptoms as the main clinical manifestations, endoscopic performance or polypoid hemispherical surface is often accompanied by congestion, erosion, etc., the quality of touch hard, often a single existence. Endoscopic treatment of 28 cases, the line gastrectomy 7 patients, liver metastases take palliative chemotherapy in 3 cases, 2 cases died of extensive metastasis. Conclusion: Early Ⅲ gastric carcinoid no specific performance, endoscopy and pathology is the key to early diagnosis. Early gastric carcinoid type the correct judgment, the correct choice of treatment methods to help improve patient survival. 　　【Key words】gastric carcinoid clinical observation 　　胃类癌是一种临床很少见的疾病，约占消化道肿瘤的1.8%，它起源于胃内分泌细胞[1]。它可分为四型[2]，其中Ⅲ型胃类癌约占胃类癌发生率的36%，转移率＞75%，恶性程度很高[3]。本文共观察Ⅲ型胃类癌40例，目的在于探讨Ⅲ型胃类癌的临床表现、内镜特征、病理特点及治疗方法，提高对该病的早期诊治水平。 　　1 资料和方法 　　1.1 一般资料　回顾性分析2008年3月-2013年3月我院确诊为Ⅲ型胃类癌患者40例的临床资料，其中男30例，女1