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目的探讨D3淋巴结清扫术对进展期胃癌患者预后的影响。方法对本院收治的88例进展期胃癌患者分别行D2淋巴结清扫术(对照组)和D3淋巴结清扫术(观察组)治疗,比较相关手术指标以及术后生存率情况。结果两组患者在术中出血量、术后排气时间以及并发症发生率方面差异均无统计学意义(P>0.05)。两组患者在1~3年生存率方面差异无统计学意义(P>0.05),而观察组患者4、5年生存率明显高于对照组患者,组间差异有统计学意义(P<0.05)。结论在具备一定手术经验的基础上,对进展期胃癌可行D3胃癌根治术治疗,以提高患者的生产率,改善预后。
Objective To investigate the effect of D3 lymph node dissection on the prognosis of patients with advanced gastric cancer. Methods Two hundred and eighty patients with advanced gastric cancer admitted to our hospital were treated with D2 lymph node dissection (control group) and D3 lymph node dissection (observation group) respectively. The related operative indexes and postoperative survival rate were compared. Results There was no significant difference in the amount of bleeding during operation, the time of postoperative exhaust and the incidence of complications between the two groups (P> 0.05). There was no significant difference in survival rates between 1 and 3 years in both groups (P> 0.05), while the 4-year and 5-year survival rates in the observation group were significantly higher than those in the control group (P <0.05 ). Conclusion With certain surgical experience, based on the feasibility of radical gastric cancer D3 radical gastrectomy treatment to improve patient productivity and improve prognosis.