论文部分内容阅读
目的探讨胃全切除术和近端胃切除术对胃癌患者预后影响。方法选择在本院行胃癌手术患者共90例,上述患者均经病理组织学检查证实。上述患者中行近端胃切除术患者共49例,作为对照组,另外41例患者患者实施胃全切除术,作为观察组。查阅所选90例患者相关住院病例,总结分析每例患者胃癌病理分期、手术方式,对上述患者术后进行随访,观察两组患者1年生存情况、3年生存情况和5年生存情况,对两组患者的生存率进行分析,比较两组生存率差异。结果观察组1年生存率为82.9%,对照组1年生存率为81.6%,观察组1年生存率和对照组比较,两组差异无统计学意义(P>0.05);观察组3年生存率为78.0%,对照组3年生存率为71.4%,观察组3年生存率和对照组比较,两组差异有统计学意义(P<0.05);观察组5年生存率为65.8%,对照组5年生存率为59.1%,观察组5年生存率和对照组比较,两组差异有统计学意义(P<0.05)。结论胃全切除术治疗胃癌患者远期生存率高于近端胃切除术,疗效显著。
Objective To investigate the effect of total gastrectomy and proximal gastrectomy on the prognosis of patients with gastric cancer. Methods Totally 90 patients undergoing gastric cancer surgery in our hospital were selected. The above patients were confirmed by pathological examination. The patients underwent proximal gastrectomy in a total of 49 patients, as a control group, another 41 patients underwent gastric total resection, as the observation group. The hospitalized cases of 90 selected patients were reviewed. The pathological staging and operation method of gastric cancer in each patient were analyzed. The follow-up of the above patients was performed. The 1-year survival, 3-year survival and 5-year survival of the patients were observed. The survival rate of two groups of patients were analyzed, the difference between the two groups was compared. Results The 1-year survival rate was 82.9% in the observation group and 81.6% in the control group. The 1-year survival rate in the observation group was not significantly different from that in the control group (P> 0.05). The 3-year survival rate The three-year survival rate of the control group was 71.4%. The 3-year survival rate of the observation group was significantly different from that of the control group (P <0.05). The 5-year survival rate of the observation group was 65.8% The 5-year survival rate was 59.1%. The 5-year survival rate of the observation group was significantly lower than that of the control group (P <0.05). Conclusion Gastric total resection of gastric cancer patients with long-term survival rate is higher than proximal gastrectomy, a significant effect.