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目的探讨全胃切除空肠P袢代胃术治疗胃底贲门癌临床效果。方法选取本院2009年1月~2013年6月140例胃底贲门癌患者,按照自愿原则分为研究组和对照组,研究组予以全胃切除空肠P袢代胃术治疗,对照组则应用Roux-en-Y吻合术进行治疗,分析对比两组患者死亡率、5年生存率和并发症发生率。结果两组患者死亡率差异无统计学意义(P>0.05),研究组5年生存率显著高于对照组,差异有统计学意义(P<0.05),并发症发生率低于对照组,差异存在统计学意义(P<0.05)。结论全胃切除空肠P袢代胃术对治疗胃底贲门癌效果明显,并发症少,值得临床应用。
Objective To investigate the clinical effect of total gastrectomy of jejunum P 袢 on gastric cardia cancer. Methods A total of 140 patients with gastric cardia and cardia cancer from January 2009 to June 2013 in our hospital were divided into study group and control group according to the principle of voluntarism. The study group was given total gastrectomy for jejunal P 袢 on behalf of stomach. The control group was applied Roux-en-Y anastomosis for treatment, analysis and comparison of two groups of patients mortality, 5-year survival and complication rates. Results There was no significant difference in mortality between the two groups (P> 0.05). The 5-year survival rate of the study group was significantly higher than that of the control group (P <0.05), and the incidence of complications was lower than that of the control group There was statistical significance (P <0.05). Conclusions Total gastrectomy jejunal P 袢 on behalf of the gastric surgery for gastric cardia cancer effect is obvious, fewer complications, it is worth clinical application.