摘要
目的:探讨进展期胃上部癌施行根治性近端胃大部切除、全胃切除术和消化道重建的术式和治疗效果。方法:随访1994～2003年完成的胃上部癌根治性近端胃大部切除、全胃切除P式空肠袢代胃及食管-空肠Roux-en-Y吻合术患者50例,并分析其临床资料。结果:50例进展期胃上部癌施行根治性近端胃大部切除或全胃切除术患者均存活,术后随访42例,随访率84.0%。1,3,5年生存率分别为78.6%(33例)、59.5%(25例)、38.1%(16例)。结论:对进展期胃上部癌施行根治性近端胃大部切除或全胃切除术仍然是目前的最佳治疗方法,对提高病人的生存期,减少痛苦将起重要作用。
Objective To study the effect of radical subtotal gastrectomy and total gastrectomy with Roux-en-Y esophagojejunostomy and Roux-en-Y jejunal P-type anastomosis on upper portion carcinoma of stomach (UPCS). Methods The clinical data of 50 cases of UPCS during the period of 1994-2003 undergoing radical subtotal gastrectomy and total gastrectomy were analysed. Results The radical subtotal gastrectomy and total gastrectomy were performed in 50 patients, all patients alive after operation ,42 patients(84.0%) have been followed up the postoperative 1-,3-,5-years survival rate was 78.6%(33cases),59.5%(25cases),38.1%(16cases). Conclusion The radical subtotal gastrectomy and total gastrectomy on UPCS is still the best choice of treatment for prolonging patient's survival time and relieving their pain.
出处
《安徽卫生职业技术学院学报》
2004年第1期20-21,27,共3页
Journal of Anhui Health Vocational & Technical College
