近侧胃大部切除术与全胃切除术治疗胃底贲门癌的效果观察  

Observation on the Clinical Effect of Proximal Subtotal Gastrectomy and Total Gastrectomy in Treating Gastriccardiac Carcinoma

作　　者：叶翔[1] Ye Xiang(Hong'an County People's Hospital,Huanggang 438400,Hubei Province,China)

机构地区：[1]红安县人民医院,湖北黄冈438400

出　　处：《中国社区医师》2023年第26期47-49,共3页Chinese Community Doctors

摘　　要：目的:观察胃底贲门癌患者采用近侧胃大部切除术(PG)与全胃切除术(TG)治疗的临床效果。方法:选取2022年2月—2023年3月红安县人民医院收治的胃底贲门癌患者64例作为研究对象,采用抽签法分为PG组与TG组,各32例。PG组采用PG治疗,TG组采用TG治疗。比较两组手术相关指标、生活质量、血清肿瘤标志物和并发症发生情况。结果:两组手术时间、术中出血量和住院时间比较,差异无统计学意义(P>0.05);TG组生活质量各项指标评分、血清癌胚抗原水平、糖类抗原-199水平以及术后并发症总发生率低于PG组,差异有统计学意义(P<0.05)。结论:TG治疗胃底贲门癌的效果更加明显,能够提高患者生活质量,降低肿瘤标志物水平,减少术后并发症。Objective:To observe the clinical effects of patients with gastrocardiac carcinoma undergoing proximal gastrectomy(PG)versus total gastrectomy(TG).Methods:64 patients with gastrocardiac carcinoma admitted to Hong'an County People's Hospital from February 2022 to March 2023 were selected as the study subjects,and were divided into the PG group and the TG group,each with 32 cases.The PG group underwent PG while the TG group was operated with TG.Surgery-related indexes,quality of life,serum tumor markers and the occurrence of complications were compared between the two groups.Results:the indexes such as operation duration,intraoperative bleeding and hospitalization duration between the two groups showed no statistically significant difference(P>0.05);the scores of quality of life indexes,serum carcinoembryonic antigen level,glycoantigen-199 level and the total incidence of postoperative complications in the TG group were lower than those in the PG group,and the difference was statistically significant(P<0.05).Conclusion:TG is more effective in treating gastrocardiac carcinoma,which can improve the quality of life of patients,reduce the level of tumor markers,and reduce postoperative complications.

关 键 词：胃底贲门癌 近侧胃大部切除术 全胃切除术 并发症 生活质量 

分 类 号：R735.2[医药卫生—肿瘤]