目的探讨采用手术治疗胃癌患者的合理性和可行性,为改进临床治疗提供建议和措施。方法选择2006年1月至2010年12月在我院进行胃癌手术的患者202例进行研究,其中男155例,女47例;其中采用近端切除为53例,占26.2%;采用远端切除为118例,占58.4%;全胃切除31例,占15.3%。术后记录转移复发与生存状况。结果 202例患者中,肿瘤于胃窦部为高发部位98例,占48.5%;手术时直径多在3~5cm内87例,占43.1%;形状多为溃疡状171例,占84.7%;且肿瘤多处于3级149例,占73.8%。肿瘤主要处于外膜层83例,占41.1%;临床分期主要处于3期107例,占53.0%。术后出现并发症有32例,主要为肺部感染,占34.4%;术后进行化疗治疗116例,占57.4%。选取101例患者进行术后生存随访,发现3年以上生存率较高,达到50%,其中1例意外死亡。结论采用手术治疗胃癌患者有着较好的效果,应加强推广。 Objective To explore the rationality and feasibility of surgical treatment of patients with gastric cancer and to provide suggestions and measures for improving clinical treatment. Methods Twenty-two patients with gastric cancer who underwent surgery in our hospital from January 2006 to December 2010 were selected, including 155 males and 47 females. Among them, 53 cases were used for proximal resection (26.2%), and distal resection 118 cases, accounting for 58.4%; total gastrectomy in 31 cases, accounting for 15.3%. Postoperative records of recurrence and survival status. Results Among the 202 patients, 98 cases (48.5%) had tumor in the antrum, 87 cases (43.1%) were mostly in 3 ~ 5cm in diameter, and 171 (84.7%) were ulcers in shape. Tumors in grade 3 and more in 149 cases, accounting for 73.8%. Tumor was mainly in the outer membrane 83 cases, accounting for 41.1%; clinical stage is mainly in stage 3 107 cases, accounting for 53.0%. There were 32 cases of postoperative complications, mainly pulmonary infection, accounting for 34.4%; postoperative chemotherapy 116 cases, accounting for 57.4%. A total of 101 patients were selected for postoperative survival and follow-up. Survival rates of more than 3 years were found to be 50%, of which 1 died unexpectedly. Conclusion Surgical treatment of gastric cancer patients have a good effect, should be strengthened to promote.