中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
29期
52-54,55
,共4页
任浩棠%李瑞平%王毅钧%陈建新%卢沛林%唐煜欣%李小悦
任浩棠%李瑞平%王毅鈞%陳建新%盧沛林%唐煜訢%李小悅
임호당%리서평%왕의균%진건신%로패림%당욱흔%리소열
全胃切除%近端胃癌根治切除%进展期近端胃癌%生存率%并发症
全胃切除%近耑胃癌根治切除%進展期近耑胃癌%生存率%併髮癥
전위절제%근단위암근치절제%진전기근단위암%생존솔%병발증
Total gastrectomy%Radical resection of proximal gastric cancer%Advanced proximal gastric carcinoma%Survival rate%Complication
目的：探讨全胃切除术与近端胃癌根治术治疗进展期近端胃癌（肿瘤直径﹥3 cm）的临床效果。方法：回顾性分析2005年7月-2010年7月本院收治的170例近端胃癌患者的临床资料，其中全胃切除术80（近端胃癌根治组），近端胃癌根治术90例（全胃切除组），调查比较两组术后28 d及5年生存率、术中指标、卫生经济学指标及术后并发症发生情况。结果：两组术后28 d及5年生存率、淋巴结清扫数目、总住院时间、总住院费用及术后并发症发生率比较，差异均无统计学意义（P>0.05）；近端胃癌根治组手术时间、术中出血量及ICU住院时间均少于全胃切除组，比较差异均有统计学意义（P<0.05）。结论：近端胃癌根治术不影响进展期近端胃癌患者生存率，较全胃切除有手术时间短，术中出血量少及ICU住院时间短的优势。
目的：探討全胃切除術與近耑胃癌根治術治療進展期近耑胃癌（腫瘤直徑﹥3 cm）的臨床效果。方法：迴顧性分析2005年7月-2010年7月本院收治的170例近耑胃癌患者的臨床資料，其中全胃切除術80（近耑胃癌根治組），近耑胃癌根治術90例（全胃切除組），調查比較兩組術後28 d及5年生存率、術中指標、衛生經濟學指標及術後併髮癥髮生情況。結果：兩組術後28 d及5年生存率、淋巴結清掃數目、總住院時間、總住院費用及術後併髮癥髮生率比較，差異均無統計學意義（P>0.05）；近耑胃癌根治組手術時間、術中齣血量及ICU住院時間均少于全胃切除組，比較差異均有統計學意義（P<0.05）。結論：近耑胃癌根治術不影響進展期近耑胃癌患者生存率，較全胃切除有手術時間短，術中齣血量少及ICU住院時間短的優勢。
목적：탐토전위절제술여근단위암근치술치료진전기근단위암（종류직경﹥3 cm）적림상효과。방법：회고성분석2005년7월-2010년7월본원수치적170례근단위암환자적림상자료，기중전위절제술80（근단위암근치조），근단위암근치술90례（전위절제조），조사비교량조술후28 d급5년생존솔、술중지표、위생경제학지표급술후병발증발생정황。결과：량조술후28 d급5년생존솔、림파결청소수목、총주원시간、총주원비용급술후병발증발생솔비교，차이균무통계학의의（P>0.05）；근단위암근치조수술시간、술중출혈량급ICU주원시간균소우전위절제조，비교차이균유통계학의의（P<0.05）。결론：근단위암근치술불영향진전기근단위암환자생존솔，교전위절제유수술시간단，술중출혈량소급ICU주원시간단적우세。
Objective:To investigate the clinical effect of total gastrectomy and radical resection of proximal gastric cancer in patients with advanced proximal gastric carcinoma.Method:The clinical data of 170 patients with advanced proximal gastric cancer in our hospital from July 2005 to July 2010 were retrospectively analyzed.Among them 80 patients(total gastrectomy group) were given total gastrectomy,the other 90 patients(radical resection group) were given radical resection of proximal gastric cancer.The survival rates of 28-day and 5-year after the operation,the intraoperative indexes,the health economics indexes and the occurrence of postoperative complications were investigated and compared between the two groups.Result:The differences in the 28-day survival rate,5-year survival rate,number of lymph node dissection,total length of hospital stay,total cost and occurrence rates of postoperative complications of the two groups were not statistically significant(P>0.05).The operative time,intraoperative bleeding volume and the length of stay in ICU of the radical resection group were less than those of the total gastrectomy group,the differences were statistically significant(P<0.05).Conclusion:Radical resection of proximal gastric cancer has no effect on survival rate of advanced proximal gastric carcinoma.It is better than total gastrectomy in the aspects of operative time,intraoperative bleeding volume and the length of stay in ICU.
