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目的 总结贲门癌手术治疗影响生存率的因素 ,提供今后工作参考。方法 对 14 8例经手术治疗的贲门癌患者进行术后并发症、绝对生存率的X2 检验。结果 本组切除率为 94.5 9% ,近半胃切除占 72 .14 % ,1、3、5年生存率分别为 67.9%、45 %和 2 4.3 %。病期、外侵程度和淋巴结转移等因素对 5年生存率有显著影响 (P <0 .0 1)。术后并发症以吻合口瘘及肺癌并发症为多见 ,其发生率为 3 .6% ,手术死亡率 1.4%。结论 提高生存率的关键在于早期诊断 ,根治手术和术后积极综合治疗。
Objective To summarize the factors that affect the survival rate of surgical treatment of cardiac cancer and provide reference for future work. Methods The X2 test of postoperative complications and absolute survival rate was performed on 14 8 cases of cardiac cancer patients undergoing surgery. RESULTS: The resection rate was 94.59% in this group and 72.14% in the proximal gastrectomy. The 1-, 3-, and 5-year survival rates were 67.9%, 45%, and 24.3%, respectively. Factors such as stage of disease, degree of external invasion, and lymph node metastasis had a significant effect on the 5-year survival rate (P < 0.01). Postoperative complications were more common in anastomotic fistulas and lung cancer complications, with an incidence of 3.6% and a operative mortality rate of 1.4%. Conclusion The key to improving survival is early diagnosis, radical surgery and active comprehensive postoperative treatment.