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目的:比较对侵犯浆膜层胃癌利用D2与D3手术方式进行治疗所取得的临床效果。方法:选择曾于我院进行治疗的侵犯浆膜层胃癌患者94例,将这些患者按照随机原则分成2组,每组患者例数相等,每组各有47例,将这2组患者作为观察组和对照组,对对照组患者利用D2手术方式来进行治疗,观察组中患者利用D3手术方式来进行治疗,比较2种手术方法的治疗效果,观察2组患者所出现的并发症。结果:在完成治疗之后,比较2组患者1、3、5年生存率,观察组中患者生存率明显高于对照组患者,2组患者之间有显著差异存在,2组患者在治疗过程中以及完成治疗之后均无严重并发症发生,2组患者之间不存在显著差异。结论:对于侵犯浆膜层胃癌患者,利用D2与D3手术方式均能够使患者症状得到一定程度改善,但D3手术方式的临床治疗效果较好,并且不会有并发症出现,与D2手术方式相比更加优秀,在临床上有重要作用和意义,可在临床上进行进一步推广。
OBJECTIVE: To compare the clinical effects of treatment of serosal invasion of serosa with D2 and D3. Methods: Ninety-four patients with serosal invasion of serosa previously treated in our hospital were selected. These patients were divided into two groups randomly according to the principle of randomization. Each group had the same number of cases, 47 cases in each group. The two groups were taken as observation Group and control group. Patients in the control group were treated with D2 surgery. Patients in the observation group were treated with D3 surgery. The therapeutic effects of the two surgical methods were compared and the complications of the two groups were observed. Results: After the completion of treatment, the 1, 3, 5-year survival rates of two groups were compared. The survival rate of patients in the observation group was significantly higher than that of the control group. There were significant differences between the two groups. During the treatment, And no serious complications occurred after the completion of treatment, there was no significant difference between the two groups of patients. CONCLUSIONS: In patients with serosal invasion of serosal invasion, the symptoms of patients with D2 and D3 can be improved to some extent. However, the clinical effect of D3 is better and there are no complications. Compared with D2 More excellent than in clinical clinically important role and significance, can be further promoted in clinical.