1629例胃手术治疗疗效总结  

Studies on Therapeutic Efficacy of Surgical Treatment in 1629 Cases of Gastric Cancer

作　　者：王清水[1] 林孟波[1] 苏璧泓[1] 高世源[1] 崔同建[1] 谢家钱[1] 林志武[1] 林镇和[1] 叶松青[1] 林肖鹰[1] 

机构地区：[1]福建省立医院肿瘤科

出　　处：《中国肿瘤临床》1995年第1期17-20,共4页Chinese Journal of Clinical Oncology

摘　　要：１９６７年１月～１９９２年１２月，手术治疗胃癌１６２９例，切除率８７．１１％，死亡率３．０７％。随访率９３．０６％，全组５年生存率５２．８２％。根治性切除１１２０例，５年生存率５９．４４％；始息性切除２４９例，５年生存率１９．９６％。早期胃癌１０４例，５年生存率９５．８４％。经分析认为：ＰＴＮＭ分期、肿瘤浸润深度、淋巴结转移情况、根治术式及根治程度是影响预后的重要因素。推广胃癌规范化手术可使胃癌根治术５年生存率由３３．１３％上升至５９．１９％。One thousand six hundred and twenty-nine cases of gastric cancer were treated with surgery from January 1967 to December 1992.The resection rate was 87.11%,operation death rate was 3.07%,follow-up rate was 93.06% and 5-year survival rate was 52.82%.Of the 1120 cases who underwent radical resection,the 5-year survival rate was 59.44% versus 19.96% in 249 cases with palliative operation.For 104 cases with early stage disease the 5-year survival rate was 95.84%.Our results indicated that pTNM calssification,depth of invasion,lymph node metastasis,pattern of radical resection and degree of resection were important factors influencing prognosis.After implementing the standardized operation for gastric cancer,5-year survival rate of radical resection rose to 59.19% from 33.13%.

关 键 词：癌 生存率 胃肿瘤 外科手术 

分 类 号：R735.205[医药卫生—肿瘤] R656.61[医药卫生—临床医学]