30岁以下胃癌病人45例外科治疗体会

Experience of surgical treatment to 45 cases of gastric cancer with age less than 30 years old

目的 探讨30岁以下胃癌病人的外科治疗方法和治疗效果。方法 回顾性分析我院1992年1月-2004年1月收治的30岁以下胃癌病人45例的临床资料。本组均行手术治疗，其中，行根治性切除28例、姑息性切除13例、剖腹探查4例。结果 本组无手术死亡病例。术后发生急性肾功能不全1例、切口感染2例、术后出血1例、不全性肠梗阻1例。有38例获随访1年～13年，在31个月内因肝脏、肺、骨等远处转移或肿瘤复发死亡13例。3年、5年生存率分别为44．7％和21．1％。结论 根治性手术是治疗青年人胃癌的主要措施。综合治疗能改善病人的生活质量。

Objective To study the surgically therapeutic methods and effects of gastric cancer patients less than 30 years old. Methods The clinical data of 45 gastric cancer patients less than 30 years from Jan 1992 to Jan. 2002 were retrospectively analyzed. Twenty-eight cases were subjected to radical resection, 13 palliative resection and 4 exploratory laparotomy. Results In this group, there was no operative dead. Postoperatively,acute renal dysfunction occurred in one cases, incisional infection in 2 cases, haemorrhage in one case, un-complete intestinal obstruction in one case Thirty-eight cases were followed up for 1 to 13 years. Within 31 months, 13 cases were died of distant metastasis of liver, lung and bone or tumor recurrence Three-and 5-year survival rate was 44. 7% and 21.1% respectively. Conclusion Radical operation is the principal measure to treat gastric cancer in young patients. Combined treatment can improve their quality of life.