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目的:探讨胃上部癌根治性手术的临床路径选择及临床意义。方法:选取我院自2005年1月-2009年12月收治的确诊为胃上部癌患者92例,分为经腹路径组和经胸腹组各46例,比较两组手术效果及临床症状改善率。结果:两组患者在治疗时间、并发症、临床症状改善等方面比较有显著差异(P<0.05)。结论:合理的手术路径对于胃上部癌根治性手术至关重要,应根据肿瘤具体情况而定,胃上部癌经腹入路具有创伤小、痛苦少的特点,并能有效防止术后并发症发生,值得临床推广。
Objective: To investigate the clinical choice of radical surgery for upper gastric cancer and its clinical significance. Methods: A total of 92 patients with upper gastric cancer who were diagnosed as upper gastric cancer from January 2005 to December 2009 in our hospital were divided into transabdominal path group and transabdominal group, 46 cases in each group. The surgical results and clinical symptoms were compared between the two groups rate. Results: There was a significant difference between the two groups in terms of treatment time, complications and clinical symptoms (P <0.05). Conclusion: The reasonable operation path is very important for the radical surgery of upper gastric cancer. It should be based on the specific conditions of the tumor. The transabdominal approach to upper gastric cancer has the characteristics of less trauma and less pain, and can effectively prevent postoperative complications , It is worth clinical promotion.