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目的：对比分析全胃切除术及近端胃切除术对食管胃结合部腺癌（AEG）患者生活质量的影响。方法选取我院2012年1月-2013年12月30例行全胃切除术的A E G患者作为对照组，另选取同期30例行近端胃切除术的患者作为观察组。应用胃癌特异性评价量表（QLQ-STO22）评价患者术后生活质量。结果对照组饮食受限程度得分明显高于实验组，实验组反流、味觉改变得分明显高于对照组（P<0.05）。结论采用近端胃切除术及全胃切除术治疗A E G，术后均会合并不同程度并发症，实施全胃切除术者味觉及反流得分更低，实施近端胃切除术者饮食受限程度更轻。“,”Objective: comparative analysis of total gastrectomy and proximal gastrectomy impact on the quality of life of cancer (AEG) in patients with esophageal gastric junction. Methods: AEG patients in our hospital in January 2012 -2013 December 30 routine total gastrectomy as a control group, and the other to select the same period in 30 patients with proximal gastrectomy routine as the observation group. Application-specific rating scale gastric (QLQ-STO22) evaluate the quality of life of patients. Results: The control group scored significantly higher than diet limited extent, the experimental group, the experimental group reflux, altered taste score was significantly higher (P <0.05). Conclusion: The proximal gastrectomy and total gastrectomy treatment AEG, wil merge different degrees of postoperative complications, the implementation of a lower total gastrectomy who taste and regurgitation scores, implementing proximal gastrectomy were restricted diet lighter degree.