中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2009年
6期
644-646
,共3页
胃肿瘤%胃切除术
胃腫瘤%胃切除術
위종류%위절제술
Stomach neoplasms%Gastrectomy
目的 研究全胃切除术式在胃底贲门部癌治疗中的意义.方法 1998年5月至2007年5月兰州大学附属白银医院普外科手术的118例胃底贲门部癌患者,行全胃切除术(A组)65例,近端胃切除术(B组)53例.对2组患者浸润程度、淋巴结清扫以及术后并发症发生率和生存率进行对比分析.结果 A、B组淋巴结清扫个数分别为(19.4±3.9)个和(15.2±2.6)个(P<0.05),淋巴结转移率为40.8%(514/1261)、54.8%(441/806),A组No.5、No.6淋巴结转移率为15.4%(10/65)、12.3%(8/65).A、B组并发症发生率分别为7.7%(5/65)、13.2%(7/53).A、B组1、3、5年生存率分别为63.1%、46.2%、30.8%和66.0%、36.9%、18.5%.A组3、5年生存率高于B组(P均<0.05).结论全胃切除术更利于胃周淋巴结的清扫,不增加并发症发生率,并提高Ⅰ、Ⅱ、Ⅲ期患者3、5年生存率.
目的 研究全胃切除術式在胃底賁門部癌治療中的意義.方法 1998年5月至2007年5月蘭州大學附屬白銀醫院普外科手術的118例胃底賁門部癌患者,行全胃切除術(A組)65例,近耑胃切除術(B組)53例.對2組患者浸潤程度、淋巴結清掃以及術後併髮癥髮生率和生存率進行對比分析.結果 A、B組淋巴結清掃箇數分彆為(19.4±3.9)箇和(15.2±2.6)箇(P<0.05),淋巴結轉移率為40.8%(514/1261)、54.8%(441/806),A組No.5、No.6淋巴結轉移率為15.4%(10/65)、12.3%(8/65).A、B組併髮癥髮生率分彆為7.7%(5/65)、13.2%(7/53).A、B組1、3、5年生存率分彆為63.1%、46.2%、30.8%和66.0%、36.9%、18.5%.A組3、5年生存率高于B組(P均<0.05).結論全胃切除術更利于胃週淋巴結的清掃,不增加併髮癥髮生率,併提高Ⅰ、Ⅱ、Ⅲ期患者3、5年生存率.
목적 연구전위절제술식재위저분문부암치료중적의의.방법 1998년5월지2007년5월란주대학부속백은의원보외과수술적118례위저분문부암환자,행전위절제술(A조)65례,근단위절제술(B조)53례.대2조환자침윤정도、림파결청소이급술후병발증발생솔화생존솔진행대비분석.결과 A、B조림파결청소개수분별위(19.4±3.9)개화(15.2±2.6)개(P<0.05),림파결전이솔위40.8%(514/1261)、54.8%(441/806),A조No.5、No.6림파결전이솔위15.4%(10/65)、12.3%(8/65).A、B조병발증발생솔분별위7.7%(5/65)、13.2%(7/53).A、B조1、3、5년생존솔분별위63.1%、46.2%、30.8%화66.0%、36.9%、18.5%.A조3、5년생존솔고우B조(P균<0.05).결론전위절제술경리우위주림파결적청소,불증가병발증발생솔,병제고Ⅰ、Ⅱ、Ⅲ기환자3、5년생존솔.
Objective To explore the value of total grastrectomy in gastric cardia and fundus carcinoma. Methods 118 cases with cardiac cancer were treated by surgical treatment, those patients were admitted between May 1998 and May 2007 in Affiliated Baiyin Hospital of Lanzhou University. Of them,65 cases were treated by total gastractomy (group A),and 53 cases were treated by proximal gastractomy (group B). The degree of invasion, lymph node dissection, postoperative complication rate and survival rate were compared. Results The average num-ber of lymph node were 19.4±3.9 and 15.2±2.6 (P<0.05), respectively. The occurrence of lymph node metasta-sis were 40.8% (514/1261) and 54.8% (441/806),respectively. Of them, the occurrence of metastasis of lymph node of No. 5、No. 6 in group A were 15.4% (10/65)and 12.3% (8/65),respectively. The postoperative complica-tion rate were 7.7% (5/65) and 13.2% (7/53). The 1,3, and 5 year survival rates were 63.1%,46.2%,30.8% in group A and 66.0%,36.9%, 18.5% in group B, with significant differences beteen two groups in 3, 5 year sur-vival rates(P<0.05). Conclusion The way of total grastrectomy is better in cleaning lymph node than that of proximal gastrectomy, and dosen't increase the postoperative complication rate but improves 3-year and 5-year sur-vival rates in cases with cardiac cancer of Ⅰ, Ⅱ, Ⅲ stage.
