全胃切除术和近侧胃大部切除术治疗胃底贲门癌的对比  

A comparison study of total gastrectomy versus proximal gastrectomy for cancer of the cardia and stomach fundus

作　　者：何洪生[1] 张敬彬[1] 刘小华[1] 巫志华[1] 王龙垣[1] 

机构地区：[1]福建省龙岩市第二医院肿瘤科,364000

出　　处：《河北医药》2007年第2期116-117,共2页Hebei Medical Journal

摘　　要：目的探讨全胃切除术治疗胃底贲门癌的临床价值。方法回顾分析我院1987年1月至2000年12月收治的胃底贲门癌根治术患者154例,其中全胃切除术组(TG组)71例与近侧胃大部切除术组(PG组)83例,对2组患者的1、3、5年生存率和术后并发症的发生率、病死率进行对照分析。结果TG组患者1、3、5年生存率分别为83.1%、64.6%、41.5%,PG组为分别87.0%、46.8%、24.7%,2组患者的3、5年生存率差异有显著性(P<0.05)。TG组术后并发症的发生率、病死率分别为16.9%、2.81%,PG组分别为15.7%、2.41%,2组差异无显著性(P>0.05)。结论全胃切除术治疗胃底贲门癌,可明显提高远期治疗效果,不会增加术后并发症的发生率和病死率。Objective To evaluate the clinical significance of total gastrectomy for cancer of the cardia and stomach fundus. Methods The data of 154 patients with cancer of the cardia and stomach fundus underwent radical resection were retrospectively analyzed. 71 cases underwent total gastrectomy（group TG）and 83 cases underwent proximal gastrectomy（group PG）. The 1,3, and 5 - year survival rates and the postoperative complication rate and mortality were compared between two groups. Results The 1,3, and 5 - year survival rates of group TG were 83.1%, 64.6% and 41.5 % respectively, which in group PG were 87.0%,46.8 %, and 24.7 % respectively. There were significant differences in 3 and 5-year survival rates between two groups （ P 〈 0.05）. The postoperativecomplication rate and mortality in group TG were 16.9 % and 2.81%, which in groupPG were 15.7 % and 2.41% respectively. There was no signitlcant difference in complication rate and mortality between two groups （ P 〉 0.05） .Condusions Long-term therapeutic effects for the cardia and stomach fundus cancer can be obviously improved by total gastrectomy without increasing postopertive complications and mortality.

关 键 词：胃癌 根治术 生存率 术后并发症 

分 类 号：R735.2[医药卫生—肿瘤]