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目的探讨早期胃癌患者的诊断和治疗。方法回顾性分析33例早期胃癌患者的临床和病理资料。结果本组患者中胃镜检查26例,确诊率73.1%(19/26),其中胃镜检查加病理活检确诊率91.7%(22/24);CEA阳性率87.9%(29/33);CA-199阳性率为48.5%(16/33)。本组患者均进行手术并术后化疗:①根治性切除术17例,占51.5%(17/33),12个月生存17例,生存率100.0%(17/17),5年生存16例,生存率94.1%(16/17);②胃癌微创手术16例,占48.5%(16/33),12个月生存15例,生存率93.8%(15/16),5年生存14例,占87.5%(14/16)。结论胃镜检查加病理活检是确诊早期胃癌的主要方法;根治性切除术加替吉奥胶囊辅助化疗是早期胃癌患者的主要治疗方法,也是延长早期胃癌患者寿命的重要治疗方法。
Objective To investigate the diagnosis and treatment of patients with early gastric cancer. Methods The clinical and pathological data of 33 patients with early gastric cancer were retrospectively analyzed. Results In this group of patients, 26 cases were diagnosed by gastroscopy with a diagnosis rate of 73.1% (19/26), of which 91.7% (22/24) were diagnosed by gastroscopy and pathological biopsy; the positive rate of CEA was 87.9% (29/33); CA-199 The positive rate was 48.5% (16/33). The patients underwent surgery and postoperative chemotherapy: ① radical resection in 17 cases (51.5% (17/33)), 12 months survival in 17 cases, the survival rate was 100.0% (17/17), 5-year survival in 16 cases , And the survival rate was 94.1% (16/17). There were 16 cases of gastric minimally invasive surgery (48.5%, 16/33), 15 cases survived 12 months and 93.8% (15/16) , Accounting for 87.5% (14/16). Conclusions Gastroscopy and pathological biopsy are the main methods for diagnosing early gastric cancer. Radical resection combined with adjuvant chemotherapy and replacement therapy is the main treatment for patients with early gastric cancer and an important treatment to prolong the life of patients with early gastric cancer.