CAJ | 학술논문

目的探讨胆囊癌Nevin分期及手术方式与预后的关系.方法选取2006年9月~2010年8月湖南旺旺医院收治的胆囊癌患者80例,记录患者临床分期、手术方式及患者术后生存情况.结果本组患者手术切除率为83.75%(67例),而根治率为72.5%(58例),术后出现并发症18例(22.5%);Ⅰ期5例患者均进行姑息性切除术,术后生存期在2年以上,Ⅱ期进行根治性手术及扩大根治手术的生存期均在两年以上,明显长于姑息性手术(1.24±0.87)年,差异均有统计学意义(P<0.05);Ⅲ、Ⅳ期患者进行扩大根治手术生存期明显长于根治性手术,差异有统计学意义(P<0.05);Ⅴ期患者不同手术方式生存期均明显低于其他组.结论胆囊癌的临床分期、手术方式与患者术后生存率具有显著关系,临床应根据患者分期选择合理手术方式,以提高患者的生存率.
목적탐토담낭암Nevin분기급수술방식여예후적관계.방법선취2006년9월~2010년8월호남왕왕의원수치적담낭암환자80례,기록환자림상분기、수술방식급환자술후생존정황.결과본조환자수술절제솔위83.75%(67례),이근치솔위72.5%(58례),술후출현병발증18례(22.5%);Ⅰ기5례환자균진행고식성절제술,술후생존기재2년이상,Ⅱ기진행근치성수술급확대근치수술적생존기균재량년이상,명현장우고식성수술(1.24±0.87)년,차이균유통계학의의(P<0.05);Ⅲ、Ⅳ기환자진행확대근치수술생존기명현장우근치성수술,차이유통계학의의(P<0.05);Ⅴ기환자불동수술방식생존기균명현저우기타조.결론담낭암적림상분기、수술방식여환자술후생존솔구유현저관계,림상응근거환자분기선택합리수술방식,이제고환자적생존솔.
Objective To investigate the relationship among prognosis and gallbladder cancer Nevin stage and surgical approach. Methods 80 cases of gallbladder cancer were selected from September 2006 to August 2010, and recorded the clinical stage, surgical approach and postoperative survival. Results The surgical resection rate was 83.75% (67 cases),and the cure rate was 72.5% (58 cases), postoperative complications had 18 cases (22.5%); 5 cases of stageⅠwere taken palliative resection, postoperative survival was longer than 2 years; the patients of stageⅡwere taken radical surgery and extended radical surgery ,the survival period was longer than 2 years; significantly longer than palliative surgery (1.24±0.87), and the differences were statistically significant (P<0.05);the survival period of stage Ⅴ with different surgical was significantly lower than the other group. Conclusion The gallbladder cancer clinical staging, surgical approach and postoperative survival had significant relationship; we should choose a reasonable surgical approach according to the patient and the clinical phases in order to improve the survival rate.