胃上部癌行全胃切除与近端胃切除的临床疗效对比分析.docVIP

精品论文 参考文献 胃上部癌行全胃切除与近端胃切除的临床疗效对比分析 张凌捷 [摘 要]目的：分析胃上部癌采用全部切除以及近端胃切除的临床治疗效果。方法：纳入此研究中的70例研究对象均为我院于2013年5月-2015年8月期间收治的胃上部癌患者，按照手术方法的差异性将其划分为观察组以及对照组，各组患者的例数均为35例，两组患者手术方法分别为全胃切除与近端胃切除，比对其两种方法的治疗效果。结果：观察组以及对照组患者分别经过治疗后，其治疗有效率通过计算为85.71%以及71.43%，同时并发症发生率分别为20%以及42.86%，而观察组患者的血红蛋白以及血清清蛋白水平明显低于对照组，近期生存率高于对照组，经对比计算后，差异性显著加强，统计学意义产生。结论：全胃切除与近端胃切除均可对胃上部癌患者进行治疗，但全胃切除术的效果较为显著，同时具有良好的预后，因此此治疗方法值得在临床治疗中推广以及应用。 [关键词]胃上部癌 全胃切除 近端胃切除 临床效果 DOI:10.3760/cma.j.issn.0376-2491.2016.28.05 作者单位：200040，上海，复旦大学附属华东医院普外科 Comparative Analysis of the Clinical Effect of Total Gastrectomy and Proximal Gastrectomy in the Treatment of Upper Gastric Carcinoma Zhang Lingjie Abstract: Objective To analyze the clinical therapeutic effect of total gastrectomy and proximal gastrectomy in the treatment of upper gastric cancer. Methods 70 subjects in our hospital from May 2013 to 2015 August with upper stomach cancer were divided into observation group and control group according to the difference of surgical methods, each group with 35 cases. The two groups of patients were given full stomach resection and proximal gastric resection respectively and the therapeutic effect of the two groups were compared. Results The effective rate of treatment of the observation group and control group were 85.71% and 71.43% respectively after treatment; the incidence of complications were 20% and 42.86%; the observation group of patients with hemoglobin and its serum albumin level was significantly lower than the control group; recent survival rate of the observation group was higher than the control group, and the difference statistically significant. Conclusions Gastric resection and proximal gastric resection can be used for the treatment of upper gastric cancer patients, but the effect of total gastrectomy is significantly better and has a better prognosis, so this method of treatment is worth in clinical promotion and application. Keywords: upper gastric cancer; total gastrectomy; proximal gastric resection;