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为评价腹腔内高温灌注(intraperitoneal hyperthermic perfusion IPHP)治疗晚期胃癌,尤其是伴腹膜种植的病人临床疗效。作者对59例在该院行手术治疗的晚期胃癌病例进行研究,认为IPHP对治疗晚期胃癌的腹膜转移和控制复发具有明显效果。根据是否采用术后IPHP治疗。本组病例共分两组,A组手术加术后IPHP治疗,B组单纯手术治疗为对照组。 A组(30例):平均年龄52岁,17例伴癌性腹水,3例术中腹水细胞学检查为阳性,余10例肿瘤侵犯浆膜层。手术方式包括全胃切除术,胃大部切除
To evaluate the clinical efficacy of intraperitoneal hyperthermic perfusion (IGP) in patients with advanced gastric cancer, especially with peritoneal implantation. The authors studied 59 patients with advanced gastric cancer undergoing surgical treatment in this hospital and believed that IPHP had a significant effect on the treatment of advanced gastric cancer with peritoneal metastasis and recurrence control. According to whether the use of postoperative IPHP treatment. The patients in this group were divided into two groups. Group A was treated with IPHP after surgery, and group B was treated with surgery alone as a control group. In group A (30 cases): the average age was 52 years old, 17 cases had cancerous ascites, 3 cases had positive cytology of ascites during surgery, and the remaining 10 cases had invasion of serosa. Surgical methods include total gastrectomy, subtotal gastrectomy