Svennevig J L, Nysted A
Acta Chir Scand. 1976;142(1):78-81.
1959-68 220 patients from Aust-Agder County were admitted to the Central Hospital with carcinoma of the stomach. The material is analysed and discussed. The average age of the patients was 69.4 years. A palpable tumour was found in 96 patients (46%); of these 6 survived 5 years. A short case history is connected with a better prognosis. One hundred and forty-nine patients (71.3%) underwent laparotomy, and the tumour could be removed in 94 cases (45%). The standard treatment has been partial gastrectomy according to Billroth II. Better results can possibly be achieved if the diagnosis is made at an earlier stage, which means before the tumour causes classical symptoms. Early gastrectomy is recommended in cases of ulcer of the stomach or X-ray negative dyspepsia.
1959年至1968年期间,来自奥斯特-阿格德尔郡的220例胃癌患者被收治于中央医院。对该病例资料进行了分析和讨论。患者的平均年龄为69.4岁。96例患者(46%)可触及肿瘤;其中6例存活了5年。短病程与较好的预后相关。149例患者(71.3%)接受了剖腹手术,94例(45%)肿瘤得以切除。标准治疗方法是根据毕罗Ⅱ式进行胃部分切除术。如果在更早阶段做出诊断,也就是在肿瘤引起典型症状之前做出诊断,可能会取得更好的治疗效果。对于胃溃疡或X线检查阴性的消化不良患者,建议早期行胃切除术。