摘要
目的:研究差异化切除区域对M区胃癌患者近远期生存率的影响。方法:选择110例M区胃癌患者进行研究,根据手术方式的不同将患者划分为观察组(给予根治术全胃切除)57例以及对照组(给予远端次全胃切除)53例,临床病理资料及根治度差异无统计学意义(P>0.05)。比较两组手术指标以及局部复发率及近、远期生存率。结果:观察组的近切缘距离及淋巴结清除数均显著大于对照组,差异有统计学意义(P<0.05)。两组的远切缘距离比较,差异无统计学意义(P>0.05)。观察组的吻合口复发率(3.51%)及腔内复发率(15.79%)均显著少于对照组(16.98%及33.96%),差异有统计学意义(P<0.05)。两组的1、3年生存率差异无统计学意义(P>0.05)。但观察组的5年生存率为57.89%,较对照组的35.85%明显更高,差异有统计学意义(P<0.05)。结论:对M区胃癌患者进行全胃切除的近期生存率与次全切除无明显差别,但远期生存率更高,值得临床关注。
Objective- To study influence study of near and long term survival rate on different resection regions for patients with gastric cancer in M region. Methods： 110 patients with M region gastric cancer received treatment in our hospital were divided into observation group（with total gas- trectomy） 57 cases and control group （with subtotal gastrectomy） 53 cases, compared with clinical pathology data and radical degree, two groups of patients＇ operation index, and local recurrence rate and near and long term survival rate in the two groups. Results： Two groups of patients were compared with clinical pathology data and radical degree, the difference was not statistically signifi- cant （P〉O.05）. The observation group＇s nearly cutting edge outside distance and lymph nodes were significantly higher than the control group, the difference was statistically significant （P〈O.05）. There was no significant difference between the two groups（P〉O.05）. The recurrence rate（3.51%） and re- currence rate （15.79%） of the observation group were significantly less than the control group of 16.98% and 33.96%, and the difference was statistically significant （P〈O.05）. The 1 and 3 year sur- vival rates of the observation group were compared with the control group, the difference was not statistically significant （P〉O.05）. But the 5 year survival rate of the observation group was 57.89%, which was significantly higher than that in the control group of 35.85%, the difference was statisti- cally significant （P〈O.05）. Conclusio： There is no significant difference in the survival rate of total gastrectomy in patients with gastric cancer in M region and total gastrectomy, but the long-term survival rate is higher, it is worthy of clinical attention.
出处
《中国现代普通外科进展》
CAS
2017年第4期280-282,286,共4页
Chinese Journal of Current Advances in General Surgery
关键词
差异化切除区域
M区
胃肿瘤
近期生存率
远期生存率
Differential resection region, M region- Gastric cancer, Near term survival ratel ~ Longterm survival rate
