近端胃切除术与全胃切除术治疗贲门癌的临床疗效对比  

Comparison of Clinical Effect of Proximal Gastrectomy and Total Gastrectomy for Cardiac Cancer

作　　者：石会勇[1] 甄亚男[1] 王斌[1] 霍守俊[1] 徐忠法[1] 

机构地区：[1]山东省医学科学院附属医院,济南250031

出　　处：《中国卫生标准管理》2016年第4期66-67,共2页China Health Standard Management

摘　　要：目的比较近端胃切除术与全胃切除术治疗贲门癌的临床疗效。方法将我院收治的56例贲门癌患者按照随机对照原则分为全胃切除术治疗组(total gastrectomy,TG组)和近端胃切除术治疗组(proximal gastrectomy,PG组),每组各28例,随访观察两组患者术后并发症及生存情况。结果 TG组患者和PG组患者术后并发症发生率分别为14.3%和17.9%,组间差异未见统计学意义(P>0.05)。TG组患者和PG组患者术后3年生存率分别为57.1%(16/28)和39.3%(11/28),组间差异有统计学意义(P<0.05)。结论全胃切除术治疗贲门癌的临床疗效优于近端胃切除术,该术式能够有效降低术后并发症,提高患者生存率。Objective To compare the clinical effect of proximal gastrectomy and total gastrectomy for cardiac cancer. Methods In our hospital of 56 cases of carcinoma of gastric cardia. In accordance with the principle,they were randomized divided into total gastrectomy treatment group（total radical gastrectomy,TG group） and proximal gastrectomy group（proximal radical gastrectomy,PG group）,each with 28 cases,follow-up observation of two groups of patients with postoperative complications and survival. Results The incidence of postoperative complications in group TG and group PG were 14.3% and 17.9%,respectively, and there was no significant difference between the groups（P 0.05）. The 3 year survival rates of patients in group TG and group PG were 57.1%（16/28） and 39.3%（11/28）,respectively. There was significant difference between the groups（P 0.05）. Conclusion Total gastrectomy treatment for cardia cancer,clinical curative effect is better than that of proximal gastrectomy. This technique can effectively reduce the postoperative complications,improve survival rate.

关 键 词：贲门癌 全胃切除术 近端胃切除术 临床疗效 

分 类 号：R735.2[医药卫生—肿瘤]