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全胃与近端胃大部切除术治疗胃底贲门癌的远期疗效对比

Long-term Effect of Total Gastrectomy and Proximal Gastrectomy in the Treatment of Gastric Cardia Cancer

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【作者】 周锦仪蒋立新蒋红妹陶峰

【Author】 ZHOU Jinyi;JIANG Lixin;JIANG Hongmei;TAO Feng;Department of General Surgery, Jiangyin TCM Hospital;

【机构】 江苏省江阴市中医院普外科

【摘要】 目的分析经腹全胃切除术与近端胃大部切除术治疗胃底贲门癌的远期疗效。方法选择我院自2008年1月—2016年12月收治的134例胃底贲门癌作为研究对象。将其随机分为2组,对照组与观察组,每组各67例。对照组患者给予近端胃大部切除术,观察组给予全胃切除术,对比两组患者远期疗效。结果与对照组比较,观察组各项QLQ-ST022评分均较低,差异具有统计学意义(P<0.05)。观察组患者并发症发生率为16.42%,低于对照组的22.39%,差异具有统计学意义(P<0.05)。结论对于胃底贲门癌采用全胃切除术远期疗效显著。

【Abstract】 Objective Analysis of total gastrectomy and proximal gastrectomy for the treatment of gastric cardia cancer long-term effect. Methods A total of 134 patients with gastric cardia cancer were selected from January 2008 to December 2016 were selected as the study objects. They were randomly divided into two groups: control group and observation group, 67 cases in each group. The patients in the control group were treated with proximal gastrectomy and the whole group was treated with total gastrectomy. The patients were treated with long-term curative effect. Results The scores of QLQ-ST022 in the observation group were lower than those in the control group, the difference was statistically significant(P<0.05). The incidence of complications in the observation group was 16.42%, which was significantly lower than that in the control group(22.39%), the difference was statistically significant(P<0.05). Conclusion For gastric cardia cancer with total gastrectomy long-term effect is better.

  • 【文献出处】 中国继续医学教育 ,China Continuing Medical Education , 编辑部邮箱 ,2017年21期
  • 【分类号】R735.2
  • 【被引频次】5
  • 【下载频次】18
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