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目的对比研究全胃切除术和近端胃切除术治疗贲门癌的疗效。方法把145例接受贲门癌根治术的患者分成两组,其中全胃切除术组(total gastrectomy TG组)85例,近端胃切除术组(proximal gastrectomy PG组)60例。对两组患者的3年、5年生存率以及术后并发症的发生率进行对比分析。结果 TG组患者3年、5年生存率分别为48.6%和28.5%,PG组为分别30.8%和16.7%,两组患者的3、5年生存率差异有显著性(P<0.05)。TG组术后并发症的发生率为9.4%。PG组为23.3%,两组并发症发生率差异有显著性(P<0.05)。结论全胃切除术治疗贲门癌,可明显提高远期治疗效果,降低术后并发症的发生率。
Objective To compare the effects of total gastrectomy and proximal gastrectomy in the treatment of cardiac cancer. Methods A total of 145 patients undergoing cardiac resection of cardia cancer were divided into two groups: 85 patients in the total gastrectomy TG group and 60 patients in the proximal gastrectomy PG group. The 3-year, 5-year survival rates and postoperative complications of the two groups were compared. Results The 3-year and 5-year survival rates of patients in TG group were 48.6% and 28.5% respectively, and those in PG group were 30.8% and 16.7% respectively. There was significant difference between the two groups in the 3- and 5-year survival rates (P <0.05). The incidence of postoperative complications in the TG group was 9.4%. PG group was 23.3%, the difference between the two groups was significant (P <0.05). Conclusion Total gastrectomy for cardia cancer can significantly improve the long-term treatment effect and reduce the incidence of postoperative complications.