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目的探讨贲门癌手术治疗的远期疗效。方法对1988年1月至1997年12月山西省阳城县第二人民医院接受手术治疗的168例贲门癌病人的临床资料和随访结果进行分析。结果 5、10、15年总存活率分别为27.4%(46/168)、22.0%(37/168)、7.1%(12/168)。Ⅱ期Ⅲ期5、10年存活率和有无区域淋巴结转移5存活存率组间比较有统计学意义(P〈0.05)。结论分期越晚,预后越差;病变侵犯越深,预后越差;病变范围越大,预后越差。
Objective To investigate the long-term efficacy of surgical treatment of cardia cancer. Methods The clinical data and follow-up results of 168 patients with cardiac cancer admitted to the Second People’s Hospital of Yangcheng County, Shanxi Province from January 1988 to December 1997 were analyzed. Results The overall survival rates at 5, 10 and 15 years were 27.4% (46/168), 22.0% (37/168) and 7.1% (12/168) respectively. There was a significant difference between the 5-year and 10-year survival rates of stage Ⅲ and 5 survival rates of regional lymph node metastasis (P <0.05). Conclusion The later the stage, the poorer the prognosis; the deeper the lesion, the poorer the prognosis; the larger the lesion, the worse the prognosis.