CAJ | 학술논문

目的：探讨腹腔灌洗对胃癌患者腹腔转移的预防价值。方法对60例胃癌根治术患者行腹腔灌洗，每例患者灌洗6次，检测每次灌洗液中癌细胞数量，观察不同分期患者灌洗液中胃癌细胞数量及胃癌细胞数量为0时的灌洗次数。结果灌洗液中胃癌细胞数量随着分期进展而逐渐增多（P＜0．05）；胃癌细胞数量随着灌洗次数的增多而逐渐减少（P＜0．05）；ⅡA期、ⅡB 期、ⅢA期患者灌洗液中胃癌细胞数量为0的最高灌洗次数为3、6、6。结论腹腔灌洗可减少胃癌手术患者腹腔内游离癌细胞数量，对预防胃癌患者术后腹腔转移有重要的临床价值。
목적：탐토복강관세대위암환자복강전이적예방개치。방법대60례위암근치술환자행복강관세，매례환자관세6차，검측매차관세액중암세포수량，관찰불동분기환자관세액중위암세포수량급위암세포수량위0시적관세차수。결과관세액중위암세포수량수착분기진전이축점증다（P＜0．05）；위암세포수량수착관세차수적증다이축점감소（P＜0．05）；ⅡA기、ⅡB 기、ⅢA기환자관세액중위암세포수량위0적최고관세차수위3、6、6。결론복강관세가감소위암수술환자복강내유리암세포수량，대예방위암환자술후복강전이유중요적림상개치。
Objective To discuss the effect of peritoneal lavage in preventing peritoneal metastasis of gastric cancer pa -tients.Methods Peritoneal lavage was performed on 60 radical gastrectomy patients ,each of whom was given 6 lavages.The number of cancer cells in each lavage liquid was measured .The number of gastric cancer cells for patients at different stages and the number of lavages when the gastric cancer cell count was 0 were observed.Results The number of cancer cells in each lav-age liquid increased when the stage progressed (P<0.05).The number of gastric cancer cells decreased with increasing number of lavages (P<0.05).The maximum numbers of lavages forⅡA,ⅡB andⅢA patients when the gastric cancer cell count was 0 were 3,6,6,respectively.Conclusion Peritoneal lavage is able to reduce the number of free cancer cells in the abdominal cavity of gastric surgery patients .It is also of great clinical significance in preventing peritoneal metastasis of gastric cancer patients after the surgery.