近侧胃大部切除术与全胃切除术治疗胃底贲门癌的临床疗效分析  

Analysis of Clinical Efficacy of Proximal Gastrectomy and Total Gastrectomy for Gastric Cardia Cancer

作　　者：李宇 LI Yu(General Surgery,Dengzhou Central Hospital,Dengzhou Henan 474100,China)

机构地区：[1]河南省邓州市中心医院普通外科,河南邓州474100

出　　处：《临床研究》2021年第6期21-22,共2页Clinical Research

摘　　要：目的研究胃底贲门癌患者采用近侧胃大部切除术与全胃切除术治疗的临床价值。方法选取河南省邓州市中心医院2017年5月至2019年4月接收的118例胃底贲门癌患者作为研究对象,根据病变性质及范围分为观察组(全胃切除术)与对照组(近侧胃大部切除术),各59例。比较两组术后生活质量、并发症发生情况及生存率。结果观察组饮食受限、吞咽困难、胃部疼痛、呃逆及身体外观评分较对照组低;观察组并发症发生率(6.77%)显著低于对照组(20.33%),生存率(96.61%)高于对照组(86.44%),差异均具有统计学意义(P<0.05)。结论全胃切除术治疗胃底贲门癌患者能显著提高整体疗效且改善预后效果。Objective To study the clinical value of proximal gastric resection and total gastrectomy for patients with gastric cardia cancer.Methods A total of 118 cases of gastric cardia cancer received by Dengzhou central hospital of Henan province from May 2017 to April 2019 were selected as the research subjects.The patients were divided into observation group(total gastrectomy)and control group(proximal subtotal gastrectomy)with 59 cases in each group according to the nature and scope of the lesion.The quality of life,the incidence of complications and the survival rate were compared between the two groups.Results:The diet restriction,dysphagia,stomach pain,hiccup and body appearance score in the observation group were significantly lower than those in the control group.The incidence of complications in the observation group(6.77%)was significantly lower than that in the control group(20.33%),and the survival rate in the observation group(96.61%)was higher than that in the control group(86.44%),with statistical significance(P<0.05).Conclusion Total gastrectomy for patients with gastric fundus and cardia cancer can significantly improve the overall efficacy and prognosis.

关 键 词：胃底贲门癌 近侧胃大部切除术 全胃切除术 

分 类 号：R735.2[医药卫生—肿瘤]