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目的分析全胃切除术治疗胃底贲门癌的临床效果。方法 82例胃底贲门癌患者,按手术方式的不同分为对照组和观察组,各41例。对照组接受近侧胃大部分切除术,观察组接受全胃切除术。对比两组患者的临床效果。结果观察组术后并发症发生率(9.76%)略低于对照组(14.63%),术后病死率(2.44%)略低于对照组(4.88%),但差异均无统计学意义(P>0.05);观察组3年生存率(68.29%)、5年生存率(41.46%)均高于对照组(41.46%、19.51%)(P<0.05)。结论全胃切除术治疗胃底贲门癌的临床效果显著,可显著提高生存率,值得临床推广应用。
Objective To analyze the clinical effect of total gastrectomy in the treatment of cardia and gastric cardia cancer. Methods 82 patients with gastric cardia carcinoma were divided into control group and observation group according to the different surgical methods, 41 cases in each. The control group received proximal gastric resection and the observation group received total gastrectomy. Compare the clinical effect of two groups of patients. Results The incidence of postoperative complications in observation group (9.76%) was slightly lower than that in control group (14.63%) and postoperative mortality rate (2.44%) was slightly lower than that in control group (4.88%), but the difference was not statistically significant > 0.05). The 3-year survival rate (68.29%) and 5-year survival rate (41.46%) in the observation group were significantly higher than those in the control group (41.46%, 19.51%, P <0.05). Conclusion Total gastrectomy for the treatment of gastric cardia cancer has significant clinical effect, which can significantly improve the survival rate, which is worthy of clinical application.