摘要
目的分析保留幽门及迷走神经的胃部分切除术治疗早期胃癌患者的效果。方法随机选取我院在2017年8月至2018年8月收治的62例早期胃癌患者参与本次试验,采取硬币法将其分为试验组(31例,采用保留幽门及迷走神经的胃部分切除术治疗)和对照组(31例,采用常规胃部分切除术治疗),比较两组患者的手术时间、术中出血量、住院时间、疾病复发率、1年内生存率及并发症发生率。结果试验组患者手术时间和住院时间均短于对照组,术中出血量少于对照组,并发症发生率低于对照组,组间差异均有统计学意义(P<0.05);两组患者疾病复发率和1年内生存率比较,组间差异无统计学意义(P>0.05)。结论对早期胃癌患者实行保留幽门及迷走神经的胃部分切除术治疗可取得较好的临床疗效,且并发症较少。
Objective To analyze the effect of partial gastrectomy with pylorus and vagus nerve preservation in the treatment of early gastric cancer.Methods From August 2017 to August 2018,62 patients with early gastric cancer admitted to our hospital were randomly selected to participate in this experiment.They were divided into experimental group(31 cases,with pylorus and vagus nerve preserved partial gastrectomy)and control group(31 cases,with routine partial gastrectomy).The operation time,intraoperative bleeding volume,hospitalization time,disease recurrence rate,survival rate and incidence of complications within a year were compared.Results The operation time and hospitalization time of the experimental group were shorter than those of the control group,the amount of intraoperative bleeding was less than that of the control group,the incidence of complications was lower than that of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the recurrence rate of disease and the survival rate within one year between the two groups(P>0.05).Conclusion Partial gastrectomy with pylorus and vagus nerve preservation for early gastric cancer patients can achieve better clinical efficacy and fewer complications.
作者
左海波
ZUO Haibo(Shenyang Ninth People's Hospital,Shenyang 110000,China)
出处
《中国医药指南》
2020年第33期66-67,共2页
Guide of China Medicine
关键词
早期胃癌
胃部分切除术
幽门
迷走神经
并发症
Early gastric cancer
Partial gastrectomy
Pylorus
Vagus nerve
Complications
