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目的探讨手术治疗进展期胃癌的效果及预后。方法选择2005年1月～2008年12月手术治疗的进展期胃癌患者61例为研究对象,比较分析不同部位、分期患者手术治疗效果。结果本组61例进展期胃癌患者经术后5年随访,治愈34例。有效21例,无效6例。其中不同部位肿瘤治疗效果比较,差异无显著性意义(P>0.05),改良Dukes分期B期、Ca期、Cb期治愈率依次递减,组建比较,差异有显著性意义(P<0.05),但总有效率比较,差异无显著性意义(P>0.05)。结论手术治疗进展期胃癌疗效确切,能延长患者的生存时间,提高生活质量。
Objective To investigate the effect and prognosis of surgical treatment of advanced gastric cancer. Methods Sixty-one patients with advanced gastric cancer surgically treated from January 2005 to December 2008 were selected as the study objects, and the surgical treatment effects of different parts and stages were compared. Results 61 cases of advanced gastric cancer patients were followed up for 5 years after operation, 34 cases were cured. Effective in 21 cases, 6 cases. There was no significant difference between the two groups (P> 0.05). The cure rates of stage B, Ca and Cb of Dukes stage were decreased in turn, and the difference was significant (P <0.05) The total effective rate, the difference was not significant (P> 0.05). Conclusion Surgical treatment of advanced gastric cancer is effective and can prolong the survival time of patients and improve the quality of life.