摘要
目的:探讨Ⅳ期胃癌合理的手术方式。方法:1978 年～1992 年间对772 例Ⅳ期胃癌进行了手术治疗,将Ⅳ期胃癌根据其不同的TNM 构成分为Ⅳa 、Ⅳb 、Ⅳc 三个亚期, 并分别采用不同的手术方式, 观察术后的5 年生存率。结果:Ⅳa 期病例施行根治切除组术后的5 年生存率为15 .4 % ,高于一般根治手术组的6.9 % 。结论:对Ⅳ期胃癌应根据亚期的不同采用不同的术式, 仅由T4b 或N3 一项构成的Ⅳa 期病例应选择行根治性手术或联合脏器切除术,Ⅳb 期可行姑息切除,同时行所属淋巴结清除,必要时行其他转移灶切除。Ⅳc 应根据病情行简单手术。
Objective: To investigate the results of palliative and radical operation in patients with stage Ⅳ gastric cancer. Methods: Seven hundred and seventy-two patients with Ⅳ stage gastric cancer were treated surgically during the period of 1978～1992. The patients were divided into three groups (Ⅳa, Ⅳb, Ⅳc) according to the different TNM stages and treated by variant operations. Results: Five-year survival rate of the patients with Ⅳa after radical resection was higher than those of the patients treated conventionally. Conclusion: The patients with stage Ⅳa consisted of T4b or N3 should be treated by radical resection, meanwhile the patients with Ⅳb or Ⅳc stage should be treated palliatively and simply.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1999年第11期809-811,共3页
Chinese Journal of Clinical Oncology
基金
黑龙江省科委科研基金资助
关键词
胃癌
治疗
根治术
外科手术
Stomach cancer Surgery Radical operation
