对比分析胃小弯全切术与传统的胃癌根治术治疗远端胃癌的效果.docVIP

精品论文 参考文献 对比分析胃小弯全切术与传统的胃癌根治术治疗远端胃癌的效果 李明亮 　　【摘 要】 目的 对比分析远端胃癌应用胃小弯全切术与传统的胃癌根治术的治疗效果。方法 选取我院2010年1月～2012年9月收治的远端胃癌患者70例为研究对象，随机分为2组，对照组给予传统的胃癌根治术治疗，观察组给予胃小弯全切术治疗，比较两组治疗效果。结果 观察组每例患者平均淋巴结清除数为（29.05plusmn;9.14）个，明显多于对照组的（18.64plusmn;9.21）个；观察组术后3年生存率分别为88.57%、80%、60%，均高于对照组77.14%、60%、51.43%；观察组术后3年复发率为8.57%，明显高于对照组25.71%；观察组术后并发症发生率为17.14%，明显低于对照组34.29%。结论 胃小弯全切术相较于传统的胃癌根治术用于远端胃癌的治疗中，效果更为显著，能够降低并发症，减少复发，值得推广。 　　【关键词】 胃小弯全切术； 传统胃癌根治术； 远端胃癌 　　【Abstract】 objective to contrast analysis of distal gastric cancer application full of gastric small turn cut method with the traditional treatment of gastric cancer radical effect. Selection methods from January 2010 to September 2010 of 70 cases with distal gastric cancer patients as the research object, and randomly divided into 2 groups, control group given conventional treatment of gastric cancer radical, the observation group was given for the treatment of total resection of gastric small turn, comparing two groups of therapeutic effect. Results the observation group each patient the average number of lymph node removal is (29.05 + / - 9.14), significantly more than in the control group (18.64 + 9.21); Postoperative observation group 3 year survival rates were 88.57%, 80%, 60%, were higher than the control group 77.14%, 60%, 51.43%; Postoperative recurrence rates were 8.57% at 3 years, the observation group was obviously higher than the control group 25.71%; The incidence of postoperative complications was 17.14%, the observation group was obviously lower than the control group 34.29%. Conclusion the stomach is little cut method compared with the traditional used in the treatment of distal gastric cancer, gastric cancer radical effect more significant, can reduce complications, reduce the recurrence, is worth promoting. 　　【Keywords】 full of gastric small turn cut method; Traditional gastric cancer radical; Distal gastric cancer 　　胃癌属于恶性肿瘤中比较常见、发生率比较高的一种，如果患者符合手术进行标准，多建议进行外科手术治疗，其也是治疗胃癌的临床主要方法，手术后联合化疗，能够明显改