中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
21期
41-42
,共2页
贲门腺癌%全胃切除%近侧胃大部切除%疗效
賁門腺癌%全胃切除%近側胃大部切除%療效
분문선암%전위절제%근측위대부절제%료효
Gastric cardia adenocarcinoma%Total gastrectomy%Proximal gastrectomy%Efficacy
目的 比较全胃切除术与近侧胃大部切除术治疗贲门腺癌的疗效.方法 回顾性分析2011年7月至2013年7月信阳市中心医院收治的82例贲门腺癌患者的临床资料,将82例患者分为行全胃切除术的观察组和实施近侧胃大部切除的对照组.比较两组患者术后1、3年生存率及术后并发症的发生情况.结果 术后观察组39例患者达到Ⅰ～Ⅲ期,有效率为92.9％,显著优于对照组的80.0％,差异有统计学意义(P＜0.05);观察组死亡1例,同期对照组为4例;术后观察组1、3年生存率分别为83.3％和40.5％,明显高于对照组的52.5％和27.5％,差异有统计学意义(P＜0.05);观察组术后出现并发症11例(26.2％),少于同期对照组的15例(37.5％),差异有统计学意义(P＜0.05).结论 在手术切除贲门腺癌,特别是Ⅲ、Ⅳ期肿瘤方面,行全胃切除术患者较近侧胃大部切除患者术后生存期更长,并发症更少,整体效果也更为突出.不过建议临床根据患者病期、肿瘤大小等来选择全胃切除术或近侧胃大部切除术.
目的 比較全胃切除術與近側胃大部切除術治療賁門腺癌的療效.方法 迴顧性分析2011年7月至2013年7月信暘市中心醫院收治的82例賁門腺癌患者的臨床資料,將82例患者分為行全胃切除術的觀察組和實施近側胃大部切除的對照組.比較兩組患者術後1、3年生存率及術後併髮癥的髮生情況.結果 術後觀察組39例患者達到Ⅰ～Ⅲ期,有效率為92.9％,顯著優于對照組的80.0％,差異有統計學意義(P＜0.05);觀察組死亡1例,同期對照組為4例;術後觀察組1、3年生存率分彆為83.3％和40.5％,明顯高于對照組的52.5％和27.5％,差異有統計學意義(P＜0.05);觀察組術後齣現併髮癥11例(26.2％),少于同期對照組的15例(37.5％),差異有統計學意義(P＜0.05).結論 在手術切除賁門腺癌,特彆是Ⅲ、Ⅳ期腫瘤方麵,行全胃切除術患者較近側胃大部切除患者術後生存期更長,併髮癥更少,整體效果也更為突齣.不過建議臨床根據患者病期、腫瘤大小等來選擇全胃切除術或近側胃大部切除術.
목적 비교전위절제술여근측위대부절제술치료분문선암적료효.방법 회고성분석2011년7월지2013년7월신양시중심의원수치적82례분문선암환자적림상자료,장82례환자분위행전위절제술적관찰조화실시근측위대부절제적대조조.비교량조환자술후1、3년생존솔급술후병발증적발생정황.결과 술후관찰조39례환자체도Ⅰ～Ⅲ기,유효솔위92.9％,현저우우대조조적80.0％,차이유통계학의의(P＜0.05);관찰조사망1례,동기대조조위4례;술후관찰조1、3년생존솔분별위83.3％화40.5％,명현고우대조조적52.5％화27.5％,차이유통계학의의(P＜0.05);관찰조술후출현병발증11례(26.2％),소우동기대조조적15례(37.5％),차이유통계학의의(P＜0.05).결론 재수술절제분문선암,특별시Ⅲ、Ⅳ기종류방면,행전위절제술환자교근측위대부절제환자술후생존기경장,병발증경소,정체효과야경위돌출.불과건의림상근거환자병기、종류대소등래선택전위절제술혹근측위대부절제술.
Objective To compare the effects of total gastrectomy and proximal subtotal gastrectomy on gastric cardia adenocarcinoma.Methods From July 2011 to July 2013,the clinical data of 82 patients with gastric cardia adenocarcinoma in Xinyang central hospital were retrospectively analyzed.The 82 patients were divided into observation group and control group,the patients in observation group were given total gastrectomy,and the patients in control group were given proximal subtotal gastrectomy.The 1-year and 3-year survival rate and incidence of postoperative complications were compared between the two groups.Results Thirty-nine patients in the observation group reached stage Ⅰ,Ⅱ and Ⅲ,the effective rate was 92.9％ in the observation group,which was significantly higher than that in the control group(80.0％),there was significant difference(P ＜0.05).In observation group,1 patient died,and 4 patients died in the control group.In observation group,the 1-year and 3-year survival rate was 83.3 ％ and 40.5％,which was significantly higher than that in the control group(52.5％ and 27.5％),there were significant differences(P ＜ 0.05).Eleven patients(26.2％) had postoperative complications in the observation group,which was less than that in the control group [15 cases(37.5％)],there was significant difference(P ＜ 0.05).Conclusions In terms of surgical resection cardia adenocarcinoma,especially stage Ⅲ and Ⅳ tumors,patients with total gastrectomy have longer survival rate,fewer complications,and better overall effect.However,the clinical recommendations should be based on the patient' s disease stage,tumor size to choose total gastrectomy or proximal subtotal gastrectomy.
