胃癌患者的根治性手术治疗202例临床分析  

Clinical analysis of 202cases of gastric cancer treated with radical operation

作　　者：谷勇[1] 曹道成[1] 马雨九 

机构地区：[1]马鞍山市中心医院普外科,安徽马鞍山243000

出　　处：《中国冶金工业医学杂志》2015年第1期9-10,共2页Chinese Medical Journal of Metallurgical industry

摘　　要：目的探讨采用手术治疗胃癌患者的合理性和可行性,为改进临床治疗提供建议和措施。方法选择2006年1月至2010年12月在我院进行胃癌手术的患者202例进行研究,其中男155例,女47例;其中采用近端切除为53例,占26.2%;采用远端切除为118例,占58.4%;全胃切除31例,占15.3%。术后记录转移复发与生存状况。结果 202例患者中,肿瘤于胃窦部为高发部位98例,占48.5%;手术时直径多在3~5cm内87例,占43.1%;形状多为溃疡状171例,占84.7%;且肿瘤多处于3级149例,占73.8%。肿瘤主要处于外膜层83例,占41.1%;临床分期主要处于3期107例,占53.0%。术后出现并发症有32例,主要为肺部感染,占34.4%;术后进行化疗治疗116例,占57.4%。选取101例患者进行术后生存随访,发现3年以上生存率较高,达到50%,其中1例意外死亡。结论采用手术治疗胃癌患者有着较好的效果,应加强推广。Objective To investigate the feasibility and rationality of operating treatment in patients with gastric cancer and provide suggestions and measures to improve the clinical treatment. Methods From January 2006 to December 2010,202 cases of gastric cancer operated in our hospital were studied, including 155 males and 47 females ; 53 eases（26.2 % ） with proximal resection ; 118 cases（58.4 % ） with distal resection; 31 cases（15.3%）with total gastreetomy. Recurrence and survival after surgery were recorded. Results In 202 patients,98 tumors（48.5%）were lied in gastric antrum which had the highest incidence ; the diameters of most tumors （87 cases, 43.1 % ） were within 3-5 cm, ulcer-like（ 171 cases, 84. 7 % ） and in the 3 grade（149 cases,73.8%）;83 tumors（41.1 %）were mainly in the adventitia;107 case（53%）were in the 3 clinical stage. Postoperative complications occurred in 32 cases mainly including lung infection（34.4 % ） ;116 cases（ 56.9 % ）were treated with chemotherapy after operation. The survival rate after surgery of 3 years in 101 patients followed up was reached 50% ,including 1 case of accidental death. Conclusion The operation treatment for patients with gastric cancer has good effect and is worthy popularizing.

关 键 词：胃癌 手术治疗 根治性切除术 临床分析 

分 类 号：R735.2[医药卫生—肿瘤]