摘要
目的 探讨胃癌姑息性手术的临床疗效.方法 将本院2006年2月～2010年2月收治的86例晚期胃癌患者随机分为对照组和观察组,每组各43例,对照组患者给予姑息性非切除手术治疗,观察组患者给予姑息性切除手术治疗,比较两组患者的生活质量及生存率.结果 术后对所有患者随访3年,观察组患者半年、1年、3年的存活率分别为69.8％、41.9％和18.6％,与对照组的30.2％、25.6％和7.0％比较,差异有统计学意义（P＜0.05）;观察组患者生活质量的良好率为37.2％,明显高于对照组的18.6％,差异有统计学意义（P＜0.05）.结论 晚期胃癌患者姑息性切除手术的疗效优于姑息性非切除手术,应根据患者的具体情况选择适宜的治疗方法.
Objective To explore the clinical effect of palliative surgery for gastric carcinoma. Methods 86 patients with advanced gastric cancer were treated in our hospital from February 2006 to February 2010,they were randomly di- vided into control group and observation group,43 cases in each group,the control group patients were given palliative resection of non surgical treatment,the observation group patients were given palliative resection surgery,the life quality and survival rate of two groups of patients were compared. Results All patients were followed up for 3 years,the sur- vival rates of postoperative of six months,1 year,3 years in observation group of patients were 69.8%,41.9% and 18.6%, compared with the 30.2%, 25.6% and 30.2% in control group,the difference was statistically significant （P〈0.05）.The the good rate of quality of life in observation group of patients was 37.2%,significantly higher than the control group of 18.6%,the difference was statistically significant （P〈0.05）. Conclusion The curative effect of palliative resection in pa- tients with advanced gastric cancer is better than that of palliative resection of nou surgical,it should be based on the specific situation to choose suitable treatment.
出处
《中国当代医药》
2014年第8期57-58,共2页
China Modern Medicine
关键词
胃癌
姑息性手术
晚期
Gastric cancer
Palliative surgery
In the late
