CAJ | 학술논문

目的：分析研究胃上部癌行全胃切除与近端胃切除的临床效果。方法随机选取2012年4月至2014年5月于本院就诊的90例胃上部癌患者作为研究对象，并将其依据手术方式的不同分为对照组以及观察组，每组各45例；对照组患者实施近端胃切除术，观察组患者实施全胃切除术；比较两组患者的治疗效果、并发症的发生概率以及5年内生存概率。结果两组患者在并发症发生概率方面的对比结果显示差异不具有统计学意义（P＞0.05）；观察组患者的治疗效果以及5年内生存概率均明显优于对照组，两组数据的对比结果均显示差异具有统计学意义（P＜0.05）。结论全胃切除术与近端胃切除术治疗胃上部癌，术后并发症的发生概率均比较高，但全胃切除术的临床治疗效果要优于近端胃切除术，且预后效果较好，故值得临床推广应用。
목적：분석연구위상부암행전위절제여근단위절제적림상효과。방법수궤선취2012년4월지2014년5월우본원취진적90례위상부암환자작위연구대상，병장기의거수술방식적불동분위대조조이급관찰조，매조각45례；대조조환자실시근단위절제술，관찰조환자실시전위절제술；비교량조환자적치료효과、병발증적발생개솔이급5년내생존개솔。결과량조환자재병발증발생개솔방면적대비결과현시차이불구유통계학의의（P＞0.05）；관찰조환자적치료효과이급5년내생존개솔균명현우우대조조，량조수거적대비결과균현시차이구유통계학의의（P＜0.05）。결론전위절제술여근단위절제술치료위상부암，술후병발증적발생개솔균비교고，단전위절제술적림상치료효과요우우근단위절제술，차예후효과교호，고치득림상추엄응용。
ObjectiveTo analyze the whole upper stomach carcinoma gastric resection and clinical effect of proximal gastric resection.MethodsRandomly selected April 2012 - May 2014 of 90 cases of upper gastric cancer patients in our hospital as the research object, and on the basis of the different methods of surgery were divided into control group and observation group, 45 cases in each group. Control group patients with proximal gastrectomy, observation group of patients to implement total gastrectomy; Compare the treatment effect of two groups of patients, the risk of complications, and 5 years survival rate. ResultsTwo groups of patients at risk of complications of comparative results showed no statistically signiifcant difference (P>0.05); The curative effect of observation group of patients and 5 years survival rate were signiifcantly better than the control group, the results show that the data of similar between the two groups have statistical signiifcance(P<0.05).ConclusionProximal gastrectomy and total gastrectomy in treatment of upper stomach cancer, the risk of postoperative complications were relatively high, but the clinical effect of total gastrectomy is superior to the proximal gastrectomy, and prognostic effect is better, so it is worth clinical application.