全胃切除术治疗胃底贲门癌的临床研究  

Clinical research of total gastrectomy in cancer of cardic and stomach fundus

作　　者：谌班超 蒋新国[1] 谌永祥[1] 夏拥军[1] 

机构地区：[1]湖南省安化县人民医院普外科,湖南安化413500

出　　处：《中国现代医学杂志》2005年第13期2045-2046,2049,共3页China Journal of Modern Medicine

摘　　要：目的探讨全胃切除术治疗胃底贲门癌的临床价值。方法回顾性分析医院8年间收治110例胃底贲门癌的资料,其中全胃切除(A组)61例,近侧胃大部分切除(B组)49例,并对其生存率和并发症发生率进行分析。结果A组1,3,5年生存率分别为81.2%,60.5%,41.2%,B组1,3,5年生存率分别为78.2%,58.1%,32.8%,两组比较有显著性意义(P<0.05)。A组术后并发症的发生率和病死率分别为13.1%和4.91%,B组分别为12.2%和4.08%,两组比较差异无显著性意义。结论对于进展期胃底贲门癌,应行全胃切除术,以提高远期疗效,全胃切除不会增加术后并发症和病死率。[Objective] To study clinical features of total gastrectomy for the treatment of cancer of the cardia and stomach fundus. [Methods] The clinical data of 110 patients with cancer of the cardia and stomach funds were analyzed retrospectively in the past 8 years. 61 patients were treated using total gastrectomy (A group), and 49 patients using proximal gastrectomy (B group). The survival rates, postoperative complication rate and mortality rate were compared in two groups. [Results] The 1, 3, and 5 years survial rates of A group were 81.2%, 60.5% and 41.2%, respectively, of B group were 78.2%, 58.1% and 32.8%, respectively, and the difference was statistically significant (P <0.05). The postoperative complication rate and mortality rate of A group were 13.1% and 4.91%, respectively, of B group were 12.2% and 4.08%, respectively, and the difference was not statistically significant (P >0.05). [Conclusions] Total gastrectomy should be recommended for development gastric carcinoma to improve long-term therapeutic effects. The postoperative complication rates and mortality rate should not be increased in the patients treated using total gastrectomy.

关 键 词：胃癌 全胃切除 生存率 

分 类 号：R735.2[医药卫生—肿瘤]