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目的:分析近端胃癌根治术临床特点。方法:选取年7月-2011年7月行近端胃根治术的患者57例,临床根据患者病情情况分别采用全胃切除(8例)保留迷走神经切除(31例)、保留贲门切除(12例)、联合脾脏切除(6例),对不同术式的手术整体情况和不良反应发生情况分别予以统计分析。结果:在淋巴结扫描上,不同术式结果不具明显差异(P>0.05);在手术出血量、手术时间、肛门排气时间和肛门排便时间、住院时间上比较,保留贲门术式和保留迷走神经术式整体效果相对更佳,联合脾脏切除术效果相对最差。不良反应发生情况上,保留迷走神经核保留贲门发生率相对更少,脾脏联合切除术发生率相对最高,比较差异均比较明显(P<0.05)。结论:近端胃根治术因患者具体病情的不同临床手术特点存在差异性,应在确保手术效果的前提下,尽量行近端胃切除,以利于手术预后效果的改善。
Objective: To analyze the clinical features of radical gastrectomy. Methods: Fifty-seven patients undergoing proximal radical gastrectomy from July to July 2011 were selected. Total gastrectomy (n = 8), vagotomy (n = 31), and cardia resection (n = 12) were performed clinically according to the patient’s condition. ), Combined with splenectomy (6 cases), the overall operation of different surgical procedures and adverse reactions were analyzed statistically. Results: There was no significant difference in the results of different surgical procedures (P> 0.05) on the lymph node scan; in the surgical bleeding volume, operation time, anal exhaust time and anal defecation time, hospital stay, cardia surgery and preservation of vagus nerve The overall effect is relatively better, the combined spleen resection effect is the worst. Adverse reactions occurred, the retention of the vagus nerve core to retain cardia was relatively less incidence of splenectomy combined surgery the highest relative differences were significant (P <0.05). Conclusion: There are differences in the clinical characteristics of proximal gastrectomy due to the different specific conditions of the patients. Under the premise of ensuring the operative effect, proximal gastrectomy should be performed as far as possible to improve the prognosis of the operation.