毕Ⅱ氏根治术治疗86例早期胃癌效果分析

Effect Analysis of Bi Ⅱ Radical Resection Treating 86 Cases of Early Gastric Cancer

目的探讨分析毕Ⅱ氏胃癌根治术治疗早期胃癌的疗效。方法回顾性分析我院1998年1月至2007年1月86例外科治疗的早期胃癌病例,评价毕Ⅱ氏切除术对早期胃癌的治疗价值。结果本组86例中93.0%得到随访,随访时间为5-9年。31例有淋巴结转移者在随访期间2例残胃复发,6例肝转移;55例无淋巴结转移者1例复发,2例转移,生存率94.5%。全组共10例随访期间死亡,5年生存率90.7%。结论早期胃癌术前、术中确诊困难,早期胃癌的淋巴结转移判断缺少有效的方法,毕Ⅱ氏胃癌根治术是早期胃癌的首选和安全有效的手术方法。

Objective To investigate the efficacy of BiⅡ radical resection of gastric cancer to treat early gastric cancer.Methods 86 cases of early gastric cancer underwent surgical treatment in our hospital from January 1998 to January 2007 were retrospectively analyzed,and the therapeutic value of BiⅡ resection of early gastric cancer was evaluated.Results 93.0% of 86 cases were followed up for 5 to 9 years.Among 31 cases with lymph node metastasis in the follow-up period,2 cases gastric remnant recurrence and 6 cases liver metastasis occurred.Among 55 cases without lymph node metastasis,1 case recurrence and 2 cases metastasis occurred,survival rate was 94.5%.A total of 10 cases of the whole group died during follow-up,5-year survival rate was 90.7%.Conclusion Preoperative,intraoperative diagnosis of early gastric cancer is difficult.Diagnosis of lymph node metastasis of early gastric cancer is lack of effective means.BiⅡradical resection is the first and a safe and effective surgical method to treat early gastric cancer.