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目的:整理我院老年胃癌的患者的手术资料,探讨不同手术术式对老年胃癌患者的术后创伤和预后的影响。方法:选取我院2013年1月至2013年12月收治的78例老年胃癌患者,将其随机分为研究组和对照组,每组各39例患者,研究组采用胃癌根治术进行治疗,对照组采用姑息性切除术进行治疗,并作随访调查,比较两组患者术后创伤与预后效果。结果:研究组手术时间(286.43±43.62)分钟,术中出血量(256.34±118.03)ml,平均住院时间为(15.36±5.67)天,并发症发病率12.82%。对照组手术时间(283.45±45.78)分钟,术中出血量(287.42±136.73)ml,平均住院时间为(16.01±5.47)天,并发症发病率15.38%,两组手术时间与术后并发症发病率无明显差异(P>0.05),术中出血量差异明显具有统计学意义(P<0.05)。结论:老年胃癌通过胃癌根治术进行治疗效果明显,无明显创伤差异,值得临床推广。
OBJECTIVE: To sort out the surgical data of elderly patients with gastric cancer in our hospital and investigate the effects of different surgical procedures on postoperative wounds and prognosis of elderly patients with gastric cancer. Methods: Seventy-eight elderly patients with gastric cancer admitted to our hospital from January 2013 to December 2013 were randomly divided into study group and control group, with 39 patients in each group. The study group was treated with radical gastrectomy, and the control group The patients were treated with palliative resection and were followed up. The postoperative trauma and prognosis of the two groups were compared. Results: The operation time (286.43 ± 43.62) minutes, intraoperative blood loss (256.34 ± 118.03) ml, average length of hospital stay (15.36 ± 5.67) days, and complications were 12.82%. The operation time (283.45 ± 45.78) minutes, the amount of intraoperative blood loss (287.42 ± 136.73) ml and the average length of hospital stay were (16.01 ± 5.47) days and the complication rate was 15.38%. The operation time and postoperative complications No significant difference (P> 0.05), the difference of intraoperative bleeding was statistically significant (P <0.05). Conclusion: The treatment effect of gastric cancer by radical gastrectomy is obvious, and there is no obvious difference in trauma. It is worthy of clinical promotion.