CAJ | 학술논문

目的分析近端胃次全切除术和全胃切除术治疗食管胃结合部腺癌（AEG）的价值。方法回顾性分析2006年11月~2011年10月我科收治的107例胃癌患者的临床资料。按其对应的术式分别纳入近端胃次全切除术组和全胃切除术组，对两组的并发症、病死率、5年生存率进行统计分析。结果除贫血外，近端胃次全切除术组和全胃切除术组并发症的发生率（>0.05）、病死率（>0.05）的差异无统计学意义，5年生存率的差异有统计学意义。结论全胃切除术治疗近端胃癌远期疗效更好。
목적분석근단위차전절제술화전위절제술치료식관위결합부선암（AEG）적개치。방법회고성분석2006년11월~2011년10월아과수치적107례위암환자적림상자료。안기대응적술식분별납입근단위차전절제술조화전위절제술조，대량조적병발증、병사솔、5년생존솔진행통계분석。결과제빈혈외，근단위차전절제술조화전위절제술조병발증적발생솔（>0.05）、병사솔（>0.05）적차이무통계학의의，5년생존솔적차이유통계학의의。결론전위절제술치료근단위암원기료효경호。
Objective To analysis the value of proximal gastrectomy (PG) and total gastrectomy (TG) for the proximal gastric cancer. Methods Retrospetively analyese of the clinical data of 107 cases who suf ered the proximal gastric cancer from November 2006 to October 2011.The data were matched with the PG group and the TG grope respectively according to its corresponding surgical resection,and the date on postoperative complications,motality and 5-year survival rate were analyzed. Results In addition to anemia ,there were no significant dif erences in the postoperative complications( >0.05 ) and mortality( >0.05 ) between the PG group and the TG group,while there was significant dif erence in the 5-year survival rate. Conclusion Total gastrectomy for the treatment of proxima gastric cancer has bet er long-term therapeutic ef ect.