探讨近端胃切除与全胃切除治疗胃近端癌的临床观察.docVIP

精品论文 参考文献 探讨近端胃切除与全胃切除治疗胃近端癌的临床观察 五常市人民医院 150200 摘要：目的 对比研究近端胃切除术与全胃切除术治疗胃近端癌的临床效果。方法 此次研究的对象是选取2009年1月～2013年1月期间本院收治的近端胃癌患者154例，将其临床资料进行回顾性分析，并随机分为对照组与观察组。对照组患者75例， 采用全胃切除术治疗；观察组患者79例， 采用近端胃切除术治疗。比较两组患者术后的并发症发生率和术后1年的生存率。结果 观察组患者的手术时间、住院时间和下床活动时间明显短于对照组（Plt;0.05）， 且出血量明显少于对照组（Plt;0.05）；对照组患者术后并发症的发生率为38.66%， 术后1年的生存率为64%；观察组患者术后并发症的发生率为22.78%， 术后1年的生存率为77.2%。两组患者的术后并发症发生率、术后1年生存率比较差异均具有统计学意义（Plt;0.05）。结论 近端胃切除术在对近端胃癌的治疗中安全有效， 能够在一定程度上提高患者的生活质量， 延长患者的生命。 关键词：近端胃切除术；全胃切除术；近端胃癌；疗效对照 [Abstract] Objective To compare the clinical effect of proximal gastrectomy and total gastrectomy for gastric proximal cancer. Methods this study was conducted in 154 patients with proximal gastric cancer admitted to our hospital from January 2013 to January 2009. The clinical data were retrospectively analyzed， and were randomly divided into control group and observation group. In 75 cases of the control group patients received total gastrectomy treatment；79 patients in the observation group using proximal gastrectomy. The incidence rate of postoperative complications and the survival rate of 1 years after operation were compared between the two groups. Results in the observation group， the operation time， hospitalization time and time to ambulation was significantly shorter than that of the control group（P lt; 0.05）， and the amount of bleeding was significantly less than that of the control group（P lt; 0.05）；the control group patients after the incidence of complications was 38.66%. Postoperative 1 year survival rate was 64%；observation group patients after the incidence of complications for 22.78%， postoperative 1 year survival rate was 77.2%. The incidence of postoperative complications and 1 year survival rates of the two groups were statistically significant（Plt;0.05）. Conclusion proximal gastrectomy on proximal gastric cancer treatment is safe and effective to improve the quality of life of patients in a certain extent， prolong the life. [Key words] proximal gastrectomy；total gas