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目的探讨晚期胃癌姑息性手术的临床效果。方法选择晚期胃癌患者104例,根据患者手术适应证和患者自身情况,分为两组,观察组和对照组。对照组患者实施姑息性非切除手术,观察组实施姑息性胃切除手术。观察组患者中,行全胃切除患者26例,14例患者近端胃切除,25例患者行远端胃切除,全胃切除联合脾切除患者2例,远端胃联合肝右叶部分切除患者3例。对照组患者中,20例行胃空肠吻合术,7例行剖腹探查术,5例患者行空肠造瘘术,2例患者行胃造瘘术。结果观察组生存质量评分与对照组比较,差异有统计学意义(P<0.05);观察组生存率情况与对照组比较,差异有统计学意义(P<0.05)。结论及早诊断及时治疗是治疗胃癌关键,晚期胃癌患者根据患者情况选择合适的手术方法,提高生存质量,利于患者预后。
Objective To investigate the clinical effect of palliative surgery for advanced gastric cancer. Methods 104 patients with advanced gastric cancer were selected. According to the indications of the patients and their own circumstances, the patients were divided into two groups: observation group and control group. Patients in the control group underwent palliative resection and the observation group underwent palliative gastrectomy. In the observation group, there were 26 cases of total gastrectomy, 14 cases of proximal gastrectomy, 25 cases of distal gastrectomy, two cases of total gastrectomy combined with splenectomy, 3 cases. In the control group, 20 patients underwent gastrojejunostomy, 7 underwent exploratory laparotomy, 5 underwent jejunostomy and 2 underwent gastrostomy. Results The quality of life score of the observation group was significantly different from that of the control group (P <0.05). The survival rate of the observation group was significantly different from that of the control group (P <0.05). Conclusion Early diagnosis and timely treatment of gastric cancer is the key to treatment of advanced gastric cancer patients according to the patient’s condition to select the appropriate surgical methods to improve the quality of life and benefit the prognosis of patients.