晚期胃癌姑息性胃切除120例分析

Clinical analysis of 120 cases of later gastric cancer undergoing palliative gastrectomy

目的 探讨姑息性胃切除治疗不能根治的晚期胃癌的临床效果。方法 回顾性分析1 983～ 2 0 0 1年 1 2 0例晚期胃癌行姑息性胃切除术 (切除组 ) ,与同期随机选择 1 2 0例晚期胃癌行非切除术 (非切除组 )进行比较。结果 两组病人在年龄、性别构成比、术后并发症和死亡率方面均无显著性差异 (P >0 .0 5 )。切除组术后 1、2、3年生存率分别为 5 7.1 %、2 8.6 %、1 1 .4 % ,非切除组 1、2、3年生存率分别为 35 .3%、1 1 .8%和 0 (P <0 .0 1 )。结论 对于有腹膜播散、远处淋巴结转移、周围脏器侵犯、H1 和H2 肝转移的晚期胃癌病人 。

Objective To evaluate the clinical effect of palliative gastrectomy for late staged gastric cancer.Methods 120 patients with late gastric cancer undergoing palliative gastrectomy(operative group)were retrospectively studied from 1983 to 2001,and compared with those with late gastric cancer who were not subjected to non operative treatment(non-operative group)at the same period.Results There was no significant difference between the two groups in age and gender,postoperative complication rates and morta...