胃部分切除术治疗早期胃癌的效果观察

目的 探讨胃部分切除术对早期胃癌的临床疗效.方法 将84例早期胃癌患者随机分为治疗组与对照组,每组42例,治疗组采用胃部分切除术治疗,对照组采用胃远端切除术治疗,比较两组患者的临床疗效和不良反应发生率.结果术后1年随访对照组进食紊乱和倾倒综合征发生率高于治疗组（P＜0.05）,反流发生率和食物淤滞发生率两组差异无统计学意义（P＞0.05）;治疗组体重减少幅度小于对照组,差异有统计学意义（t=3.8324,P＜0.05）,两组患者5年后复发率和生存率比较差异无统计学意义（P＞0.05）.结论 胃部分切除术不仅对早期胃癌患者具有确切疗效,还能提高患者术后的生活质量,可作为早期胃癌治疗的优选方案.

Efficacy observation of partial gastrectomy in the treatment of early gastric cancer

Objective To explore the clinical effect of partial gastrectomy in the treatment of early gastric cancer. Methods 84 patients with early gastric cancer were evenly divided into treatment group and control group.In the treat- ment group,the partial gastreetomy was applied,while in the control group,distal gastrectomy was adopted.The clinical effects and incidence of adverse reaction in both groups were compared.Results One-year follow-up visits after surgery,the incidences of eating disorder and dumping syndrome in the control group was higher than that in the treat- ment group （P〈0.05）.The incidences of reflux and food stagnation had no significant difference in both groups （P〉0.05）. The weight loss in the treatment group was less than that of the control group,with statistical difference （t=3.g324,P〈 0.05）.After 5 years,there was no significant difference in recurrence rate and survival rate in both groups （P〉0.05）. Conclusion The partial gastrectomy not only obtains a definite effect on treating early gastric cancer,but also improves patient＇s quality of life after surgery,which can be selected as the preferred regimen for early gastric cancer.