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目的研究讨论胃上部癌行全胃切除与近端胃切除的临床疗效对比与意义。方法选取本院外科胃上部癌患者100例,其中50例采用全胃切除术治疗,50例采用近端胃切除术治疗,分别对两组患者治疗后并发症发生情况、手术后生存率以及术后恢复情况进行评估。结果两组患者治疗后并发症发生率比较显示行全胃切除术患者并发症发生率显著低于近端胃切除术患者(P<0.05);治疗后癌灶大小与患者生存率比较显示癌灶>3 cm与<3 cm治疗后1年生存率无较大差异(P>0.05);治疗后3~5年全胃切除术生存率显著较高(P<0.05)。恢复情况比较显示治疗后近端胃切除术患者各项恢复指标优于全胃切除术组患者(P<0.05)。结论胃上部癌要根据肿瘤的大小,分期,采取合理的手术方式,全胃切除术可降低术后相关并发症,改善生活质量,提高生存率,临床疗效更为确切。
Objective To study the clinical efficacy and significance of total gastrectomy and proximal gastrectomy in upper gastric cancer. Methods 100 cases of upper gastric cancer in our hospital were selected, of which 50 cases were treated by total gastrectomy and 50 cases were treated by proximal gastrectomy. The incidence of postoperative complications, postoperative survival rate, Post-recovery assessment. Results The complication rates of two groups of patients after treatment showed that the incidence of complications in patients undergoing total gastrectomy was significantly lower than that in patients underwent proximal gastrectomy (P <0.05). After treatment, the size of the foci and the survival rate of the patients showed foci The survival rates of one year after operation> 3 cm and <3 cm were not significantly different (P> 0.05). The survival rate of total gastrectomy 3 and 5 years after operation was significantly higher (P <0.05). Comparison of recovery showed that the recovery indexes of proximal gastrectomy patients were better than that of total gastrectomy patients (P <0.05). Conclusion According to the tumor size and staging, the upper gastric cancer should be treated reasonably. Total gastrectomy can reduce postoperative complications, improve the quality of life and increase the survival rate. The clinical effect is more accurate.