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胃癌患者手术治疗704例临床分析

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  • NETL
  • NSTL
  • 万方数据
  • 维普
目的:总结手术治疗胃癌患者临床疗效.方法:回顾性分析1993/2008手术治疗胃癌患者704例临床资料.结果:入院手术治疗的胃癌患者多数为临床Ⅲ-Ⅳ期,并存重要器官并发症484例(68.8%),根治性切除手术544例(77.3%),姑息性切除96例(13.6%),复合手术128例(18.2%),主要消化道重建方式是Roux-en-Y,术后出现并发症344例(48.9%).根治性手术切除5a生存率为44.1%,姑息性切除为3.4%,复合手术切除为O%.结论:治疗晚期胃癌的关键是根治性手术.
Surgieal treatment for 704 patients with gastric cancer
AIM: To summarize the clinical curative effect for the patients with gastric cancers. METHODS: We retrospectively reviewed data from 704 patients with primary gastric cancer treated with surgical procedures between 1993 and 2008. RESULTS : When first diagnosed, most patients under study were at clinical stage Ⅲ - Ⅳ and 484 (68. 8% ) patients were with chronic complications. Totally 544 (77. 3%) patients underwent complete resection, 96 cases (13. 6% ) palliative excision and 128 cases (18. 2% ) composite operation. The digestive tract reconstruction was mainly conducted by Roux-en-Y, and post-operation complications were found in 344 cases (48. 9% ). The 5-year-survival rate of the patients treated with complete resection was 44. 1% , palliative excision 3. 4% , but composite operation 0%. CONCLUSION: The most effective treatment for terminal gastric cancer is complete resection.

stomach tumorsurgeryperioperative periodsurgical treatmentretrospect analysis

常东民、马刚、张勇、王作仁、姬生威、李陕区

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西安交通大学第一附属医院,肿瘤外科,陕西,西安,710061

西安交通大学第一附属医院,肝胆外科,陕西,西安,710061

西安交通大学第一附属医院,第四军医大学唐都医院门诊部,陕西,西安,710038

胃肿瘤 外科学 手术期间 外科治疗 回顾性分析

陕西省科技攻关项目

2008K09-03

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子：0.599
ISSN：1000-2790
年,卷(期)：2009.30(3)
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