贲门癌经腹与经胸两种术式疗效的比较  

Comparison of transabdominal and transthoracic approaches for surgical treatment of carcinoma of gastric cardia

作　　者：马永富[1] 刘阳[1] 周美齐[2] 张涛[1] 

机构地区：[1]解放军总医院胸外科,北京100853 [2]解放军总医院肿瘤科,北京100853

出　　处：《临床外科杂志》2008年第2期105-107,共3页Journal of Clinical Surgery

摘　　要：目的从贲门癌手术后的远期生存率方面,比较经腹与经胸两种手术入路的疗效。方法对244例经手术治疗并有随访资料的病例进行统计分析,比较经腹与经胸两种手术入路患者1、3、5年生存率及切缘阳性率的差异。结果两组间患者1、3、5年生存率差异无统计学意义,上切缘阳性率差异具有统计学意义。组内切缘阳性与切缘阴性病例生存率差异具有统计学意义。结论两种手术入路对患者生存率的影响差异无统计学意义,但手术入路选择应个体化,对食管明显受侵患者,应采取经胸入路手术,以降低上切缘阳性率。Objective To explore the curative effects of transabdominal and transthoracic approaches for carcinoma cardia by evaluating the postoperative long - term survival rate. Methods 244 cases of resected cardiac carcinoma which were followed up were reviewed in General Hospital of PLA from 1999 to 2001. The survival rate of the two groups was compared. Results The difference in one - ,3 - and 5 - year survival rate had no significant between the two groups （P 〉 0.05 ）. However, the difference in postive upper resection margin rate between the two groups was significant （ P 〈 0.05 ）. There was significant difference in survival rate between the postive and nagative resection margin cases in each group （P 〈 0.05）. Conclusion There was no significant difference in the survival rate between two surgical approaches, but the choice of the surgical approaches should be individualized. In order to reduce the postive upper resection margin rate,the transthoracic approcch was used when the esophagus was affected by the tumor obviously.

关 键 词：责门癌 手术 生存率 

分 类 号：R735.2[医药卫生—肿瘤]