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作者等分析了1972~1976年外科收治的114例胃癌病人,其中37例施行根治切除术,15例施行姑息性切除术,15例施行捷径术,21例施行剖腹探查与化疗,10例仅作剖腹探查,5例仅作化疗,11例未作任何处理。治疗结果:总的5年生存率为15.5%,施行根治性或姑息性切除术的5年生存率为27%,其他未作切除术的治疗组中,没有1例生存2年以上。单纯剖腹探查组中,除1例生存6个月外,没有一例症状缓解。姑息性切除术15例中,7例术时已有明显癌肿转移,8例因局部扩散未完全切除而划归姑息性切除组,癌肿转移均在肝脏或淋巴结,没有广泛的腹膜转移。术后30天内死亡者为手术死亡。本组手术死亡如下:15例捷径手术7例死亡,37例根治术7例死亡,15例姑息性切除术
The authors analysed 114 patients with gastric cancer surgically treated from 1972 to 1976, of whom 37 underwent radical resection, 15 underwent palliative resection, 15 underwent shortcuts, 21 underwent exploratory laparotomy and chemotherapy, and 10 underwent only Laparotomy, 5 cases were treated with chemotherapy only, and 11 cases were not treated. Treatment outcome: The overall 5-year survival rate was 15.5%. The 5-year survival rate for radical or palliative resection was 27%. None of the other resection-free treatment groups survived for more than 2 years. In the simple exploratory laparotomy group, except 1 patient who survived for 6 months, there was no symptomatic relief. Palliative resection in 15 cases, 7 cases had significant cancer metastasis at the time of operation, and 8 cases were classified as palliative resection group due to incomplete resection of local diffusion. Cancer metastasis was in the liver or lymph nodes, and there was no extensive peritoneal metastasis. Deaths occurred within 30 days after surgery. The following deaths occurred in this group: 7 deaths in 15 shortcuts, 7 deaths in 37 radical operations, and 15 palliative resections.