全胃切除术与近端胃切除术治疗胃上部癌的效果比较.docVIP

全胃切除术与近端胃切除术治疗胃上部癌的效果比较 　　[摘要] 目的 比较全胃切除术与近端胃切除术治疗胃上部癌的效果。 方法 选取本院2011年2月～2013年2月收治的68例胃上部癌患者为研究对象，根据不同手术方式将其分为全胃切除术组与近端胃切除术组，各34例，比较两组的手术情况、术后并发症情况及远期生存率等。 结果 两组的手术时间、术中出血量、排气时间及住院时间比较，差异无统计学意义（P0.05）。全胃切除术组的术后并发症发生率为20.59%，术后1年存活率为91.18%，近端胃切除术组的术后并发症发生率为29.41%，术后1年存活率为94.12%，两组比较，差异无统计学意义（P0.05）。 结论 全胃切除术与近端胃切除术治疗胃上部癌的效果均良好，无明显差异，可根据患者的具体情况选择合适的手术方式。 　　[关键词] 全胃切除术；近端胃切除术；胃上部癌 　　[中图分类号] R735.2 [文献标识码] A [文章编号] 1674-4721（2014）08（a）-0051-03 　　Effect comparison of total gastrectomy and proximal gastrectomy in treatment of upper gastric cancer 　　HUANG Zhe XU Fei-peng ZHOU Cai-jin LIN Lin ZHU Wen-jin WANG Wei-wei 　　Department of Gastrointestinal Surgery，Affiliated Hospital of Guangdong Medical College，Zhanjiang 524000，China 　　[Abstract] Objective To compare the effect of total gastrectomy and proximal gastrectomy in the treatment of upper gastric cancer. Methods 68 patients with upper gastric cancer admitted to our hospital from February 2011 to February 2013 were selected as the study subjects and divided into the total gastrectomy group and the proximal gastrectomy group according to the surgical method，and there were 34 patients in each group.The surgical conditions，postoperative complications and long-term survival rate of the two groups were compared. Results There was no statistical difference of operation time，amount of intraoperative bleeding，exaust time，hospital stay in the two groups （P0.05）.In the total gastrectomy group，the incidence rate of postoperative complication was 20.59% and the postoperative 1-year survival rate was 91.18% while in the proximal gastrectomy group，the incidence rate of postoperative complication was 29.41% and the postoperative 1-year survival rate was 94.12%，and there was no statistical difference between the two groups （P0.05）. Conclusion Total gastrectomy and proximal gastrectomy show good effect in the treatment of upper gastric cancer，without significant differences.The appropriate surgical method should be chosen acc