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目的 探讨姑息性胃切除治疗不能根治的晚期胃癌的临床效果。方法 回顾性分析1 983～ 2 0 0 1年 1 2 0例晚期胃癌行姑息性胃切除术 (切除组 ) ,与同期随机选择 1 2 0例晚期胃癌行非切除术 (非切除组 )进行比较。结果 两组病人在年龄、性别构成比、术后并发症和死亡率方面均无显著性差异 (P >0 .0 5 )。切除组术后 1、2、3年生存率分别为 5 7.1 %、2 8.6 %、1 1 .4 % ,非切除组 1、2、3年生存率分别为 35 .3%、1 1 .8%和 0 (P <0 .0 1 )。结论 对于有腹膜播散、远处淋巴结转移、周围脏器侵犯、H1 和H2 肝转移的晚期胃癌病人 ,姑息性胃切除可以改善其预后
Objective To investigate the clinical effects of palliative gastrectomy for advanced gastric cancer that cannot be cured. Methods Retrospective analysis of 120 cases of palliative gastrectomy for advanced gastric cancer from 1 983 to 2001 (resection group) was compared with 120 cases of non-resection surgery (non-resection group) randomly selected for the same period of time. . Results There was no significant difference in age, sex ratio, postoperative complications and mortality between the two groups (P > 0.05). The 1-, 2-, and 3-year survival rates of the resection group were 5.11%, 28.6%, and 11.4%, respectively. The 1-, 2-, and 3-year survival rates of the non-excision group were 35.3% and 11.8%, respectively. % and 0 (P <0. 0 1 ). Conclusion Palliative gastrectomy can improve the prognosis of advanced gastric cancer patients with peritoneal dissemination, distant lymph node metastasis, peripheral organ invasion, H1 and H2 liver metastases.