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目的探讨早期胃癌的治疗效果。方法对1989年2月-2000年8月间早期胃癌患者51例的临床资料及生存预后的情况进行回顾性分析。结果早期胃癌大体类型以凹陷型多见,其次为浅表型,全组淋巴结转移率为13.73%,早期胃癌最常见症状是上腹不适或隐痛,3、5年生存率为94.12%和82.35%,全组术后复发率为11.7%,复发均发生于D_1术式。结论早期诊断早期治疗是提高生存率的关键,建议对早期胃癌尤其是癌细胞分化差侵犯黏膜下层者行D_2术式。
Objective To investigate the therapeutic effect of early gastric cancer. Methods The clinical data and survival and prognosis of 51 patients with early gastric cancer from February 1989 to August 2000 were analyzed retrospectively. Results The general types of early gastric cancer were concave type, followed by superficial type. The rate of lymph node metastasis in the whole group was 13.73%. The most common symptom of early gastric cancer was upper abdominal discomfort or dull pain. The three and five year survival rates were 94.12% and 82.35% , The recurrence rate of the whole group was 11.7%, recurrence occurred in the D_1 type. Conclusion Early diagnosis and early treatment is the key to improve the survival rate. It is suggested that the D 2 operation should be performed on early gastric cancer, especially the poor differentiation of cancer cells.