根治性切除术与扩大根治性切除术对胃癌患者术后生活质量的影响

目的]探讨根治性切除术与扩大根治性切除术对胃癌患者术后生活质量的影响.方法]80例胃癌患者随机分为根治性切除术组（A术式组）和扩大根治性切除术组（B术式组）,观察比较两种不同术式的术前术后Karnofsky评分及手术效果比较.结果]术前两种术式Karnofsky评分差异无显著性,术后A术式Karnofsky评分明显低于B术式组,经统计学分析,差异有显著性（P〈0.05）.两组在平均住院时间、平均手术时间、平均术中术后出血量、平均下地时间、平均术中术后输血量方面比较,经统计学分析,差异有显著性（P〈0.05）.结论]扩大根治性切除术对胃癌患者术后生活质量的影响较根治性切除术明显,且在住院时间、手术时间、术中术后出血量、下床活动时间、术中术后输血量方面优于根治术.

Effect of Radical Resection and Extended Radical Resection on the Postoperative Quality of Life of Gastric Cancer Patients

Objective]To explore the effect of radical resection and extended radical resection on the postoperative quality of life of gastric cancer patients. Methods] Eighty patients with gastric cancer undergoing surgery were randomly divided into radical resection group and extended radical resection group. Preoperative and postoperative Karnofsky score and surgical results were observed and compared between two groups. Resuits]There was no significant difference in preoperative Karnofsky score between two kinds of surgical methods. The postoperative Karnofsky score of radical resection group was obviously lower than that of extended radical resection group, and there was significant difference. There were significant differences in the average length of stay, mean operative time, the average amount of intraoperative and postoperative bleeding, the average time of out-of-bed activity, the average amount of intraoperative and postoperative blood transfusion between two groups. Conclusion] The effect of extended radical resection on the postoperative quality of life of gastric cancer patients is more obviously than that of radical resection. Moreover, the hospital stay, operative time, intraoperative and postoperative bleeding, the time of out of-bed activity, intraoperative and postoperative blood transfusion of extended radical resection are better than those of radical resection.