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目的探讨胃部分切除术(pylorus preserving gastrectomy,PPG)的临床疗效,以指导临床治疗早期胃癌。方法将我院2007年3月至2010年4月住院的早期胃癌患者186例随机分为观察组和对照组,观察组93例采用胃部分切除术,对照组93例采用远端胃切除术(distal gastrectomy,DG),观察两组患者的临床疗效。结果与对照组比较,观察组患者疗效较好,并发症发生率低,组间差异有统计学意义(P<0.05)。结论胃部分切除术只要掌握早期胃癌手术适应证,临床疗效显著,且术后并发症发生率也较低,适合临床推广使用。
Objective To investigate the clinical efficacy of pylorus preserving gastrectomy (PPG) to guide the clinical treatment of early gastric cancer. Methods 186 cases of early gastric cancer hospitalized in our hospital from March 2007 to April 2010 were randomly divided into observation group and control group, 93 cases in observation group were treated with partial gastrectomy, 93 cases in control group were treated with distal gastrectomy distal gastrectomy, DG) to observe the clinical efficacy of two groups of patients. Results Compared with the control group, the observation group had better curative effect and lower complication rate, the difference between the two groups was statistically significant (P <0.05). Conclusions Gastric partial resection, as long as the indications for early gastric cancer surgery, clinical significant effect, and the incidence of postoperative complications is also low, suitable for clinical use.