D2根治术式对进展期胃癌患者术后疗效及并发症的影响分析.docVIP

D2根治术式对进展期胃癌患者术后疗效及并发症的影响分析 　　[摘要] 目的 探讨D2根治术式对进展期胃癌患者术后疗效以及并发症的影响。方法 方便选择2012年4月―2015年4月在医院住院部治疗的60例进展期胃癌患者作为研究对象，按照数字随机法将其分为对照组和观察组两组，每组30例。其中对照组患者进行常规开腹胃癌根治术治疗，观察组患者则采用腹腔镜下D2根治术治疗，比较两组患者的疗效以及并发症的发生率。结果 观察组手术一般情况均显著优于对照组；观察组患者术后并发症的总发生率为10.00%，显著低于对照组的36.67%（P0.05）。结论 D2根治术对进展期胃癌患者的术后疗效更好，安全性好，值得推荐。 　　[关键词] D2根治术；进展期胃癌；疗效；并发症 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）04（c）-0066-03 　　[Abstract] Objective To discuss the effect of D2 radical surgery on postoperative curative effect and complications of patients with advanced gastric cancer. Methods 60 cases of patients with advanced gastric cancer hospitalized in our hospital from April 2012 to April 2015 were selected as the research objects and randomly divided into two groups with 30 cases in each， the control group were treated with conventional open gastric cancer radical surgery， the observation group were treated with laparoscopic D2 radical surgery， and the curative effects and incidence rates of complications were compared between the two groups. Results The surgical general condition in the observation group was obviously better than that in the control group， the total incidence rate of postoperative complications in the observation group was obviously lower than that in the control group（10.00% vs 36.67%）（P0.05）. Conclusion The postoperative curative effect and safety of D2 radical surgery in treatment of patients with advanced gastric cancer are good， which is worth recommendation. 　　[Key words] D2 radical surgery； Advanced gastric cancer； Curative effect； Complication 　　当前临床上常采用手术治疗胃癌，将癌灶清除，其中尤以D2根治术效果最为明显[1-2]。随着医学的发展，D2根治术由常规的开腹手术逐渐转变为腹腔镜手术，鉴于此，该院特针对2012年4月―2015年4月在医院治疗的60例进展期胃癌患者做了一次研究，旨在探讨D2根治术的疗效，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　方便选择自2012年4月―2015年4月该院住院部收治的60例进展期胃癌患者作为研究对象，所有患者均经术前胃镜活检证实为胃癌，经腹部增强CT扫描提示为进展期胃癌，具备根治术切除的手术指征。按照数字随机法分为对照组和观察组两组，每组30例。其中对照组患者男17例，女13例，年龄在38～72岁，平均年龄为（56.18±3.39）岁；职业：农民15例，工人9例，其他6例。病程3个月～4年，平均（1.36±0.22）年。病理分型：局部溃疡型10例，浸润溃疡型8例，局部浸润型6例，弥漫浸润型5例，其他类型1例。观察组患者男18