CAJ | 학술논문

目的:分析保留迷走神经胃癌根治术治疗胃癌患者的临床疗效.方法:将114例胃癌患者分为观察组(64例)与对照组(50例),分别采用保留迷走神经胃癌根治术和传统胃癌根治术治疗,对手术出血量、手术时间、术后肛门排气和排便时间,以及术中淋巴结扫描比、手术并发症发生率和5年生存率分别统计比较.结果:在手术出血量和手术时间上,两组差异无统计学意义;术后排气和排便时间观察组相对更短;另外,观察组手术淋巴结扫描比更高,术后并发症发生率更低,5年生存率明显更高;术后12个月观察组患者进食情况明显更佳;观察组手术整体效果更为明显.结论:保留迷走神经胃癌根治术在胃癌治疗中临床效果显著,值得推广应用.
목적:분석보류미주신경위암근치술치료위암환자적림상료효.방법:장114례위암환자분위관찰조(64례)여대조조(50례),분별채용보류미주신경위암근치술화전통위암근치술치료,대수술출혈량、수술시간、술후항문배기화배편시간,이급술중림파결소묘비、수술병발증발생솔화5년생존솔분별통계비교.결과:재수술출혈량화수술시간상,량조차이무통계학의의;술후배기화배편시간관찰조상대경단;령외,관찰조수술림파결소묘비경고,술후병발증발생솔경저,5년생존솔명현경고;술후12개월관찰조환자진식정황명현경가;관찰조수술정체효과경위명현.결론:보류미주신경위암근치술재위암치료중림상효과현저,치득추엄응용.
Objective:To analyze the clinical effect of keeping vagus nerve radical gastrectomy in treatent of gastric cancer patients.Method:114 cases of gastric cancer patients were randomly divided into research group(64 cases)and control group(50 cases). Patients in research group were treated with keeping vagus nerve radical gastrectomy and patients in control group were treated with traditional radical gastrectomy. The operative bleeding volume,operative time,postoperative anal exhaust and defecate time,intraoperative lymph node scanning ratio,occurrence rate of complication and 5 years survival rate were analyzed and compared. Result:There were no significant differences between two groups about operative bleeding volume and time(P>0.05). The postoperative anal exhaust and defecate time of research group was shorter than that in control group. The intraoperative lymph node scanning ratio was high,occurrence rate of complication was low and 5 years survival rate was high in research group. Eating situation total effect of research group was significantly better than that in control group(P<0.05). Conclusion:The clinical effect is better of keeping vagus nerve radical gastrectomy in treatment of gastric cancer patients and it is worthy of popularization and application.