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目的:从病理生物学行为探讨早期胃癌合理的外科治疗措施。方法:根据癌肿对胃壁的侵犯距离及淋巴结转移规律,选用不同术式,回顾性分析经术后病理诊断为早期胃癌病人32 例的治疗效果。结果:除1 例因贲门侧吻合口漏死亡外,5 年生存率为961 % 。结论:早期胃癌的病理生物学行为是指导外科治疗术式选择的基础。
Objective: To explore the reasonable surgical treatment of early gastric cancer from the pathological and biological behavior. Methods: According to the invading rate of gastric cancer and the rule of lymph node metastasis, we selected different surgical procedures and retrospectively analyzed the therapeutic effect of 32 patients with early gastric cancer diagnosed by postoperative pathology. Results: The 5-year survival rate was 961% except 1 patient died of cardia-side anastomosis. Conclusion: The pathological and biological behavior of early gastric cancer is the basis for selection of surgical treatment of surgical procedures.