胃上部癌行全胃切除与近端胃切除的临床疗效对比分析

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英文篇名：Comparative Analysis of Clinical Effect of Total Gastrectomy and Proximal Gastrectomy in the Treatment of Upper Gastric Cancer 作者：杜青陆 英文作者：DU Qinglu;General Surgery Department, Ulanhot City People's Hospital in Xing'an League; 关键词：胃上部癌 ; 全胃切除术 ; 近端胃切除 ; 临床疗效 英文关键词：Gastric cancer;;Total gastrectomy;;Proximal gastric resection;;Clinical curative effect 中文刊名：JXUY 英文刊名：China Continuing Medical Education 机构：内蒙古兴安盟乌兰浩特市人民医院普外科; 出版日期：2016-10-20 出版单位：中国继续医学教育 年：2016 期：v.8 语种：中文; 页：JXUY201629049 页数：2 CN：29 ISSN：11-5709/R 分类号：80-81

摘要

目的对比胃上部癌行全胃切除与近端胃切除的临床疗效。方法选择2014年1月~2015年12月我院收治的胃上部癌患者98例作为此次研究对象,随机分为对照组与观察组,对照组实施近端胃切除术,观察组实施全胃切除术,对比两组患者临床疗效。结果观察组临床总有效率是93.9%,半年内存活率是85.7%,并发症发生率是16.3%;对照组临床总有效率是77.6%,半年内存活率是67.3%,并发症发生率是36.7%,观察组临床疗效、并发症发生率以及半年内存活率均优于对照组(P<0.05)。结论胃上部癌行全胃切除术的临床疗效要优于行近端胃切除术,且能减少术后并发症。
        Objective To compare the curative effect of gastric resection and proximal gastric resection in upper stomach cancer. Methods 98 cases of upper gastric cancer in our hospital from January 2014 to December 2015 were selected as the study subjects, and randomly divided into control group and observation group, control group received proximal gastrectomy, the observation group received total gastrectomy, clinical curative effect were compared between the two groups. Results The clinical total effective rate in observation group was 93.9%, 0.5 year survival rate was 85.7%, the complication rate was 16.3%, the clinical total effective rate in control group was 77.6%, 0.5 year survival rate was 67.3%, the incidence of complications 36.7%, the clinical efficacy, complication rate and 0.5 year survival rate in observation group were significantly better than the control group(P<0.05). Conclusion The clinical curative effect of total gastrectomy for gastric cancer is significantly better than proximal gastrectomy, and can significantly reduce the postoperative complications.

引文

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