早期胃癌患者的循证治疗

目的借助循证医学的方法为1例早期胃癌患者确定治疗目标及治疗方案。方法在充分评估患者情况后,提出临床问题,从Cochrane图书馆（网络版2000-2009年）、PubMed和EMBASE（2000-2009年）上进行检索。检索的主题词为：stomach cancer,early cancer,therapy,preoperative treatment,postoperative treatment,lymph node metastasis,invasive therapeutic technique,postoperative complication,postoperative hemorrhage,metaanalysis,systematic review,randomized controlled trial（RCT）,practice guideline。结果共检出与不同问题相关的指南、系统评价或Meta分析14篇,随机对照试验5篇,非随机对照研究7篇。通过对检索结果进行分析,结合患者意愿,为患者制定了合理的治疗方案。结论采用循证治疗的方法,为1位诊断为早期胃癌患者确定合理的治疗方案,可以有效提高治疗效果,提高患者生存质量。

Evidence-Based Treatment for A Patient with Early Gastric Cancer

Objective To formulate an evidence-based treatment plan for a patient with early gastric cancer. Methods Based on the clinical questions raised by a patient with early gastric cancer, we searched the Cochrane Library (online year 2000 to 2009), PubMed and EMBASE (year 2000 to 2009) for meta-analysis, systematic review, randomized controlled trial(RCT), guideline, case-control studies. Results We found 14 practice guidelines or systematic reviews or meta analysis, 5 RCT, and 7 case-control studies. After ana...