CAJ | 학술논문

目的探讨胃癌胃全切除手术和胃部分切除手术后患者的临床预后情况。方法以我院2005年8月～2013年5月间收治的胃癌行手术治疗患者250例为研究对象，根据患者手术方式的不同，分为了全切组（104例）和部分切除组（146例），采用回顾性研究的方法，比较两组患者手术情况、术后肠道免疫情况和并发症发生率之间的差异。结果部分切除组患者术后下床时间、通气时间和住院时间少于全切除组，术后肠道免疫情况优于全切除组，术后并发症发生率低于全切除组，其差异皆有统计学意义（P＜0.05）。结论在胃癌患者中开展胃部分切除术，相较于胃全切术，能减少手术对患者的损伤、保护患者的免疫功能、降低患者发生并发症的风险，进而提高患者的临床预后水平。
목적탐토위암위전절제수술화위부분절제수술후환자적림상예후정황。방법이아원2005년8월～2013년5월간수치적위암행수술치료환자250례위연구대상，근거환자수술방식적불동，분위료전절조（104례）화부분절제조（146례），채용회고성연구적방법，비교량조환자수술정황、술후장도면역정황화병발증발생솔지간적차이。결과부분절제조환자술후하상시간、통기시간화주원시간소우전절제조，술후장도면역정황우우전절제조，술후병발증발생솔저우전절제조，기차이개유통계학의의（P＜0.05）。결론재위암환자중개전위부분절제술，상교우위전절술，능감소수술대환자적손상、보호환자적면역공능、강저환자발생병발증적풍험，진이제고환자적림상예후수평。
Objective To compare the different effect between the gastric resection and total gastrectomy in the treatment of gastric cancer. Methods 250 cases were rolled in the study from Aug. 2005 to May 2013 in our department. We divided them into gastric resection group (GRG, 146 cases) and total gastrectomy group(TGG, 104 cases) based on their operation method. The operation situation, postoperative intestinal immunity and complication incidence were compared between the two groups with the retrospective study method. Results The time of activities from the bed, intestinal functional recovery time and the length of hospital stay of the GRG were less than the ones of TGG. The states of postoperative intestinal immunity of the GRG were more positive than the TGG. The complication incidence of the GRG was lower than the TGG. Conclusion The gastric resection can get more positive effect in the treatment of gastric cancer than the total gastrectomy.