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目的探讨晚期胃癌患者手术治疗的特征及临床疗效。方法回顾分析本院收治的100例晚期胃癌手术病例,行根治性切除手术68例,姑息性切除手术14例,行联合脏器切除手术13例,单纯性探查手术2例,单纯性胃空肠吻合术3例。术后对并发症的发生率进行记录,并做5年随访,记录患者术后生存情况。结果经术后1年患者生存例数为87例,生存率为87%,术后3年患者生存例数为67,生存率为67%,术后5年患者生存例数为32例,生存率为32%。术后发生并发症19例,占总数的19%。结论采取手术治疗晚期胃癌是可行的,应临床广泛应用。
Objective To investigate the surgical treatment of patients with advanced gastric cancer and its clinical efficacy. Methods A retrospective analysis of 100 cases of advanced gastric cancer surgery admitted to our hospital, radical resection in 68 cases, 14 cases of palliative resection, combined surgery in 13 cases, simple exploration operation in 2 cases, simple gastrojejunostomy Surgery in 3 cases. Postoperative complication rate was recorded and 5-year follow-up, record the patient’s postoperative survival. Results One year after operation, the number of patients survived was 87 and the survival rate was 87%. Survival rate was 67% at 3 years after operation, and survival rate was 67%. Survival rate was 5 after 5 years The rate is 32%. Postoperative complications occurred in 19 cases, 19% of the total. Conclusion Surgical treatment of advanced gastric cancer is feasible and should be widely used clinically.