手术径路对贲门癌远期生存的影响(附353例随访结果分析)

了解手术径路对贲门癌术后远期生存率的影响。方法：对本院353例贲门癌分左胸、上腹及胸腹联合切口三种径路进行手术，术后逐年随访，了解手术径路对贲门癌术后远期生存的影响。结果：全组总1、3、5、10年生存率分别为86．1％、56．7％、49．9％、20．9％。左胸组、上腹组及胸腹联合切口组5年生存率分别为37．6％，46．25％，57．6％。三组间各TNM分期的5年生存率经用加权卡方检验差异并无显著性（P＞0．05）。而肿瘤的浸润深度与淋巴结的转移状况对其预后有显著影响（P＜0．01）。

Affect of Different Operative Approaches on Long-term Survival of Cardiac Cancer

Purpose: To understand the effect of different operative approaches on the survival of cardiac cancer.Method: Between April 1983 and December 1991, 353 patients with cardiac cancer were operated by three approaches. The approache to the left chest was taken in 183, to the left chest in conjunction with the up-per abdomen in 122, and to the upper abdomen in 48. Follow - up was carried out in the end of each year from 1988 to 1995.The statistic analysis on the actual survival rate was taken.Results: The 1-,3 -,5, and 10 - year actual survival rates in the Pan - group were 86.1%,56.7%,49.9%,20.9% respec-tively. The 5 - year surival rates in the three groups of left chest, left chest in conjunction with upper ab-domen, and upper abdomen were 37.6%, 46.3%, 57.6% respectively.The differentiation of 5 - year survival rate was not significant in the three groups by Weighting Chi - square Test (P>0.05). However the depth of wall penetration and the nodal status were important prognostic factors(P<0.01).