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目的分析胃裸区清扫联合D2根治术对T_(1-3)N_(0-2)M_0近端胃癌的治疗价值。方法 66例T_(1-3)N_(0-2)M_0近端胃癌患者根据术式不同分为对照组和观察组,各33例。对照组患者采用D2根治术治疗,观察组患者采用胃裸区清扫联合D2根治术治疗。观察两组临床疗效。结果观察组近期缓解率93.9%高于对照组的72.7%,差异有统计学意义(P<0.05);5年生存率57.6%高于对照组的27.3%,差异有统计学意义(P<0.05)。结论胃裸区清扫联合D2根治术治疗T_(1-3)N_(0-2)M_0近端胃癌效果理想。
Objective To analyze the therapeutic value of combined treatment of D2 and D2 in the treatment of T_ (1-3) N_ (0-2) M_0 proximal gastric cancer. Methods Sixty-six patients with T_ (1-3) N_ (0-2) M_0 proximal gastric cancer were divided into control group and observation group according to different surgical procedures, with 33 cases in each. Patients in the control group were treated with D2 radical mastectomy. The patients in the observation group were treated with gastric emptying combined with D2 radical mastectomy. The clinical effects of two groups were observed. Results The rate of remission in the observation group was 93.9%, which was significantly higher than that in the control group (72.7%, P <0.05). The 5-year survival rate was 57.6% higher than that in the control group (27.3%), with significant difference ). Conclusions The treatment of proximal gastric cancer with T_ (1-3) N_ (0-2) M_0 gastric cancer with combined operation of D2 and D2 is ideal.