胃部分切除术治疗早期胃癌的疗效观察

The curative effect of partial gastrectomy for treatment of early gastric cancer

目的探讨胃部分切除术(pylorus preserving gastrectomy,PPG)的临床疗效,以指导临床治疗早期胃癌。方法将我院2007年3月至2010年4月住院的早期胃癌患者186例随机分为观察组和对照组,观察组93例采用胃部分切除术,对照组93例采用远端胃切除术(distal gastrectomy,DG),观察两组患者的临床疗效。结果与对照组比较,观察组患者疗效较好,并发症发生率低,组间差异有统计学意义(P<0.05)。结论胃部分切除术只要掌握早期胃癌手术适应证,临床疗效显著,且术后并发症发生率也较低,适合临床推广使用。

Objective To analysed the clinical curative effect of partial gastrectomy operation （py- lorus preserving gastrectomy, PPG）, and to guide the clinical treatment of early gastric cancer. Methods From 2007 March to 2010 April, 186 cases of patients hospitalized in early gastric cancer were randomly di- vided into treatment group and control group, the treatment group of 93 cases with partial gastrectomy, 93 cases in the control group with distal gastrectomy （ DG）, comparison of the chnical curative effect of two groups. Results Through the observation of clinical curative effect, analysis of efficacy and evaluation cri- teria, the treatment group compared with the control group, with statistical significance （P 〈0.05 ）. Con- clusions The clinical curative effect of partial gastrectomy was remarkable, the low rate of complications, it is suitable for clinical use.