中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
18期
38-40
,共3页
直肠胃肠道间质瘤%外科%治疗
直腸胃腸道間質瘤%外科%治療
직장위장도간질류%외과%치료
Rectal gastrointestinal stromal tumor%Surgery%Treatment
目的：探讨直肠胃肠道间质瘤(gastrointestinal stromal tumor，GIST)外科治疗的疗效及安全性。方法回顾性分析本院2006年1月~2011年1月收治的44例直肠GIST患者的临床资料，观察治疗效果及预后。结果根治手术组的手术时间、住院时间长于姑息手术组，术中出血量多于姑息手术组，住院费用、并发症发生率率高于姑息手术组(P<0.05)；两组的复发转移率、生存率差异无统计学意义(P>0.05)。结论根治性、姑息性手术的转归相似，而姑息性手术具有更好的安全性，是保证患者预后及生存质量的较佳选择。
目的：探討直腸胃腸道間質瘤(gastrointestinal stromal tumor，GIST)外科治療的療效及安全性。方法迴顧性分析本院2006年1月~2011年1月收治的44例直腸GIST患者的臨床資料，觀察治療效果及預後。結果根治手術組的手術時間、住院時間長于姑息手術組，術中齣血量多于姑息手術組，住院費用、併髮癥髮生率率高于姑息手術組(P<0.05)；兩組的複髮轉移率、生存率差異無統計學意義(P>0.05)。結論根治性、姑息性手術的轉歸相似，而姑息性手術具有更好的安全性，是保證患者預後及生存質量的較佳選擇。
목적：탐토직장위장도간질류(gastrointestinal stromal tumor，GIST)외과치료적료효급안전성。방법회고성분석본원2006년1월~2011년1월수치적44례직장GIST환자적림상자료，관찰치료효과급예후。결과근치수술조적수술시간、주원시간장우고식수술조，술중출혈량다우고식수술조，주원비용、병발증발생솔솔고우고식수술조(P<0.05)；량조적복발전이솔、생존솔차이무통계학의의(P>0.05)。결론근치성、고식성수술적전귀상사，이고식성수술구유경호적안전성，시보증환자예후급생존질량적교가선택。
Objective To explore the efficacy and safety of surgical treatment for rectal gastrointestinal stromal tumor (GIST). Methods The clinical data of 44 patients with rectal GIST admitted and treated in our hospital from January 2006 to January 2011 were retrospective analyzed.The therapeutic effect and prognosis were observed. Results Opera-tion time,hospitalization time in the radical operation group were longer than that of the palliative operation group, amount of bleeding in the radical operation group was more than that in the palliative operation group,cost of hospital-ization,incidence rate of complication in the radical operation group was higher than that of the palliative operation group (P<0.05);there was no statistical difference of the recurrence rate,survival rate of the two groups (P>0.05). Con-clusion Radical operation and palliative operation have similar surgical prognosis,but palliative operation has better safety thus it is a better choice to ensure prognosis and life quality of patients.
