摘要
目的探讨提高胃癌疗效的方法。方法回顾性分析我院1985～1995年间经外科治疗的526例胃癌患者的临床资料。结果501例行胃癌切除术,切除率95.2%。其中根治性切除405例(80.8%),姑息性切除96例(19.2%)。手术死亡率0.95%,手术并发症发生率6.5%。随访5～10年,总的5年生存率为35.3%。其中根治性切除组为43.4%,姑息性切除组为7.3%,未行肿瘤切除组为0。胃癌Ⅰ期的5年生存率为74.6%,Ⅱ期56.0%,Ⅲ期25.0%,Ⅳ期10.7%。结论外科手术是治疗胃癌的最有效手段。根据病期早晚、大体类型、浸润深度、浆膜改变、淋巴结转移状态等生物学特点,合理选择手术方案以及施行以手术为中心的综合治疗,有助于提高生存率。
Objective To explore the way of improving curative effect on gastric cancer. Methods Clinical data of 526 patients with gastric cancer from January 1985 to December 1995 were analyzed retrospectively.Results 501 cases underwent gastrectomy and the rate of gastrectomy was 95.2%,while 405 cases with radical resection (80.8%) and 96 cases with palliative resection (19.2%). The mortality of gastrectomy was 0.95%, and the morbidity of postoperative complications was 6.5%. After the follow up survey of 5 to 10 years, the 5 year overall survival rate was 35.3%. The 5 year survival rate was 43.3%in radical resection group, 7.3%in palliative resection group, and zero while in non resectional group. Meanwhile, the 5 year survival rates were 74.6%, 56.0%, 25.0%and 10.7%in the patients with stage Ⅰ,Ⅱ, Ⅲ, Ⅳrespectively .Conclusions To improve the survival rate of gastric cancer, the reasonable plan of gastrectomy should be drawn up and the synthetical treatment around gastrectomy should be performed basing on biological characteristic of each patient such as clinical stage, histological type, invasion depth, serosa change, lymph node metastasis and so on.
出处
《中华胃肠外科杂志》
CAS
2002年第1期28-31,共4页
Chinese Journal of Gastrointestinal Surgery
关键词
预后
胃癌
外科手术
治疗
Stomach neoplasms
Surgical procedures
Prognosis
