胃癌外科手术术式与患者预后的关系探讨

Correlation between surgery procedures for gastric cancer and prognosis

目的比较胃全切和近段胃切除两种手术方式对患者术后生存率的影响。方法按照住院病历号随机抽取2011年度在我院进行手术治疗的胃癌患者86例,通过查阅这86例患者的住院病例,得到其一般人口学资料、胃癌类型、手术术式等资料,然后根据病例随访得到这86例患者的术后生存情况,并计算出其1年术后生存率、3年术后生存率、5年术后生存率,然后根据术式的不同,比较患者术后生存率的差异。采用SPSS13.0数据分析软件来进行数据录入与分析,两组对象的均衡性检验采用卡方分析,生存率的比较采用Log-rank检验。结果两种术式的患者1年生存率差别无统计学意义,两种术式的患者3年生存率差别有统计学意义,两种术式的患者5年生存率差别有统计学意义。结论胃全切术治疗胃癌患者的远期生存率高于行近端胃切除的患者。

Objective To compare the effect of total gastrectomy and proximal gastrectomy on the postoperative survival rate of patients with gastric cancer.Methods 86 patients with gastric cancer admitted in our hospital in 2011 were randomly selected and analyzed for the clinical data,including general data,type of gastric cancer,surgery procedures,postoperative survival rate.The one-year survival rate,three-year survival rate,five-year survival rate were calculated and compared according to the surgery procedures.The statistical analysis was performed by SPSS13.0.Results No statistically significant difference was found in the one-year survival rate between patients undergoing total gastrectomy and those undergoing proximal gastrectomy,while statistically significant difference was showed in the three-year survival rate and five-year survival rate.Conclusion The long-term survival rate was significantly higher in patients treated by total gastrectomy than those undergoing proximal gastrectomy.