探讨胃癌切除术不同清扫方式对患者创伤程度影响  

To Investigate the Effect of Different Cleaning Methods of Gastric Cancer on the Degree of Trauma

作　　者：金英朝[1] 

机构地区：[1]黑龙江省医院外科,黑龙江哈尔滨150036

出　　处：《中国继续医学教育》2017年第16期130-131,共2页China Continuing Medical Education

摘　　要：目的研究分析胃癌切除术不同清扫方式对患者创伤程度的影响情况。方法对2012年5月—2014年12月在我院行胃癌切除术患者资料进行回顾性分析,247例患者根据切除方式分为标准胃癌根治术(D2手术组)、扩大胃癌根治术(D3手术组)、姑息性切除组(D0手术组)。比较3组患者的手术创伤程度(术中输血量、手术时间、术后住院时间、并发症发生率以及术前、术后不同时点患者血清中炎症因子变化)。结果 D2组、D3组术中输血量均少于D0组,差异具有统计学意义(P<0.05)。D2组、D3组、D0组患者的手术时间、术后住院时间、并发症发生率对比,差异无统计学意义(P>0.05)。结论胃癌切除后行标准淋巴结清扫和扩大淋巴结清扫与姑息性切除相比,并不增加患者手术创伤及并发生发生率。Objective To investigate the influence of different cleaning methods on the degree of trauma in patients with gastric cancer resection. Methods The data of gastrectomy for gastric cancer in our hospital from May 2012 to December 2014 were analyzed retrospectively, 247 cases were divided into standard radical gastrectomy（D2 operation group）, extended radical gastrectomy（D3 operation group） and palliative resection group（D0 operation group） according to the way of resection. The surgical trauma degree（intraoperative blood transfusion volume, operation time, postoperative hospital stay, complication rate, and changes of inflammatory factors in serum before and after operation） were compared between the 3 groups. Results The blood transfusion volume in group D2 and group D3 were less than that of group D0, the difference was statistically significant（P〈0.05）. The D2 group, D3 group and D0 group had no significant difference in operation time, postoperative hospital stay and complication rate（P〉0.05）. Conclusion Compared with palliative resection, standard lymph node dissection and extended lymph node dissection did not increase the surgical trauma and the incidence of gastric cancer after gastrectomy.

关 键 词：胃癌 根治性切除术 姑息性切除术 创伤 

分 类 号：R735[医药卫生—肿瘤]