胃癌胃全切除手术和胃部分切除手术后患者的临床预后情况比较差异探讨

Gastric Gastric Resection Surgery and Part of the Stomach After Surgery in Patients with Clinical Prognosis Difference Discussion

目的探讨胃癌胃全切除手术和胃部分切除手术后患者的临床预后差异。方法方便选取2014年11月—2015年11月在该院住院治疗的132例胃癌患者,根据手术治疗术式的不同将分为部分切除组(76例)和全切除组(56例),部分切除组患者采取胃部分切除术治疗,全切除组患者采取胃全切除术治疗,并比较两组患者通气时间、术后下床时间、住院时间、术后胃肠道免疫情况以及术后并发症发生率。结果部分切除组患者通气时间、术后下床时间、住院时间、术后CD4+/CD8+和血清白蛋白等分别为(3.0±0.6)d、(1.3±0.4)d、(6.0±1.1)d、(1.5±0.3)、(3.1±0.2)g/L,全切除组患者分别为(3.9±1.2)d、(2.6±1.3)d、(7.9±2.5)d、(1.0±0.1)、(3.8±0.4)g/L,组间比较差异有统计学意义(P<0.05);部分切除组患者术后并发症发生率为3.9%,全切除组患者术后并发症发生率为14.3%,两组比较差异具有统计学意义(P<0.05)。结论与胃癌患者实施胃全切除术相比,胃部分切除术有助于减轻患者手术损伤,保证患者肠道免疫功能,减少术后并发症的发生,该方法值得推广应用。

Objective Discussion prognosis of gastric stomach difference resection surgery and part of the stomach after surgery patients. Methods Convenient selection the surgical treatment of different surgical procedures will be in November2014 to November 2015 in 132 cases of gastric cancer in our hospital were divided into partial resection group（76 cases）and resection group（56 cases）, partial resection patients taking part of the stomach resection, subtotal resection patients take treatment of gastric resection, and two groups were compared ventilation, postoperative ambulation time, hospital stay,postoperative gastrointestinal immunity as well as incidence of postoperative complications. Results Partial resection group ventilation time in patients with postoperative ambulation time, hospital stay, postoperative CD4 ＋ / CD8 ＋ and serum albumin were（3.0 ± 0.6） d,（1.3 ± 0.4）d,（6.0 ± 1.1） d,（ 1.5 ± 0.3）,（3.1 ± 0.2） g / L, respectively resection patients（3.9 ± 1.2） d,（2.6± 1.3）d,（7.9 ± 2.5） d,（1.0 ± 0.1）,（3.8 ± 0.4） g/L, the difference between the two groups was significantly（P〈0.05）; postoperative complication partial resection group was 3.9%, total resection postoperative complication rate was 14.3%, the difference has statistically significant（P〈0.05）. Conclusion Gastric cancer patients with gastric resection embodiment compared gastrectomy help reduce patient trauma surgery, to ensure that patients intestinal immune function, reduce the incidence of postoperative complications, which should be widely applied.