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目的:对在佳木斯市中心医院应用外科手术治疗的胃肠道肿瘤患者的临床治疗方法进行分析总结,探究临床治疗效果,总结临床治疗经验。方法:2015年12月至2016年6月期间,本院共收治胃肠道肿瘤患者72例,对胃肠道肿瘤患者应用适合的外科手术进行治疗,观察手术的临床治疗效果及接受二次治疗的患者人数,并对72例患者进行术后为期两年的随访,记录随访期中患者的死亡率。结果:本次研究过程中,对72例胃肠道肿瘤患者均进行了外科手术治疗,72例患者病变组织均完整切除,切除肿瘤直径为1.2~20.1 cm,平均直径达到(9.2±0.2)cm,其中胃肠道肿瘤大于5 cm的患者有36例,部分较大肿瘤存在内部坏死,内部出血等现象。治疗过程结束后,32例患者需进行二次手术,在药物治疗、化疗和二次手术的治疗下,72例患者均顺利痊愈出院。随访过程中发现,术后0.6~2年共出现4例死亡患者。结论:对于胃肠道肿瘤患者而言,外科手术治疗是极为有效且安全的治疗方法,术后患者生存率较高,具有临床推广应用的价值,另外,医学界还应探索更为有效的治疗胃肠道肿瘤的方法,将死亡率降至最低。
Objective: To analyze and summarize the clinical treatment of patients with gastrointestinal cancer treated with surgical operation in Jiamusi Central Hospital, to explore the clinical effect and summarize the clinical experience. Methods: From December 2015 to June 2016, 72 cases of gastrointestinal cancer patients were treated in our hospital. The patients with gastrointestinal cancer were treated with suitable surgical procedures. The clinical effect and the second treatment Of the patients, and 72 patients were followed up for two years. The mortality rate of patients in the follow-up period was recorded. Results: During the study, 72 patients with gastrointestinal cancer were treated surgically. All the 72 patients were completely resected. The diameter of tumor was 1.2-20.1 cm and the average diameter was (9.2 ± 0.2) cm , Of which 36 cases of gastrointestinal tumors larger than 5 cm, some larger tumors with internal necrosis, internal bleeding and so on. After the treatment was over, 32 patients underwent secondary surgery, and 72 patients recovered and discharged smoothly under the medical therapy, chemotherapy and secondary surgery. During follow-up, it was found that there were 4 deaths in 0.6 to 2 years after operation. Conclusion: Surgical treatment is a very effective and safe treatment for patients with gastrointestinal cancer. The postoperative survival rate is high, which has the value of clinical application. In addition, the medical community should explore more effective treatment Gastrointestinal cancer methods, the mortality rate to a minimum.