外科手术治疗胃肠肿瘤的临床分析.pdfVIP

32 ● 论著 ● 《中国医学前沿杂志 （电子版）》2016 年第8 卷第2 期 外科手术治疗胃肠肿瘤的临床分析 王政 （青海省人民医院　肿瘤外科，西宁　810007 ） 【摘要】目的 分析外科手术治疗胃肠肿瘤的临床效果，为胃肠肿瘤的临床治疗提供理论依据。方 法 回顾性分析2012 年10 月至2013 年10 月本院收治的行外科手术治疗的80 例胃肠肿瘤患者的临 床资料。根据患者肿瘤直径、形态以及良/ 恶性程度，结合患者年龄、身体状况等采取不同的治疗方 案，并分析手术治疗效果。结果 80 例患者痊愈率为65.0%，死亡率为17.5%，复发率为17.5% 。结 论 胃肠肿瘤患者的临床表现无明显特征，术前正确诊断的难度较大。外科手术与术后正确的治疗方 式结合是治疗胃肠肿瘤的有效方案。 【关键词】胃肠肿瘤 ；外科手术；治疗方案 Clinical analysis of surgical in the treatment of gastrointestinal neoplasms WANG Zheng (Department of Surgical Oncology, Qinghai Peoples Hospital, Xining 810007, China) Corresponding author: WANG Zheng, E-mail: wangzhengys2015@126.com Abstract Objective To analyze the clinical effect of surgical in the treatment of gastrointestinal 【 】 　 neoplasms, and provide theoretical basis for clinical treatment of gastrointestinal neoplasms. Method　 Clinical data of 80 patients with gastrointestinal neoplasms treated in our hospital from October 2012 to October 2013 were retrospectively analyzed, according to the tumor diameter, shape and benign/malignant degree, combined with the age, physical condition using different therapeutic regimen, analyzed the treatment effect of surgery. Result　The cure rate of 80 cases was 65.0%, the mortality was 17.5%, the relapse rate was 17.5%. Conclusion　The clinical features of patients with gastrointestinal neoplasms are not obvious, and the preoperative diagnosis is difficult. The combination of surgery and postoperative correct treatment is an effective method in the treatment of gastrointestinal neoplasms. Key words Gastrointestinal neoplasms; Surgery; Therapeutic regimen 【 】 我国胃肠肿瘤的发病率和死亡率均较高，发病 究旨在分析外科手术治疗胃肠肿瘤的临床效果，为 早期，良性胃肠肿瘤的症状一般并不明显，不易被 临床实践提供理论依据。 察觉。少数患者有恶心、呕吐或类似溃疡病等症状。 1　资料与方法 胃肠肿瘤好发于50 岁以上人群，男女发病率之比 1.1　一般资料　选取2012 年 10 月至2013 年 10 为2 ︰1。手术是胃肠肿瘤的主要治疗方式，随着 月于本院行外科手术治疗的80 例胃肠肿瘤患