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目的:探讨胃癌早期手术方式的选择与淋巴结清扫的治疗效果,为胃癌手术治疗提供依据。方法:选取我院收治的40例早期胃癌患者作为本次研究的研究对象,根据患者的影像学诊断与术中病灶探查情况进行相应的手术和淋巴结清扫治疗,观察患者进行手术治疗后的并发症及患者为期5年随访后的生存率。结果:手术后有5例患者出现手术切口部位的感染,1例患者出现术后出血,1例患者出现腹腔感染,出现并发症患者予以抗生素和止血等药物治疗后好转,没有患者出现较严重的并发症。为期5年的随访发现19例胃远端次全切除术患者有15例患者死亡,14例患者施行胃近端大部切除术后12例死亡,7例胃全切除手术患者有5例患者死亡,所有患者经过组间对比分析之后发现,无统计学意义。结论:胃癌早期手术治疗根据病情选择正确的手术方式对于患者预后非常重要,手术清除转移淋巴结是手术成功的关键因素。
Objective: To explore the choice of operation mode and the effect of lymph node dissection in the early stage of gastric cancer, and provide the basis for the surgical treatment of gastric cancer. Methods: Forty patients with early stage gastric cancer admitted to our hospital were selected as the study subjects. According to the imaging diagnosis and the exploration of intraoperative lesions, corresponding surgical resection and lymphadenectomy were performed to observe the postoperative complications And survival of patients after 5-year follow-up. Results: Five patients had surgical incision infection after surgery, one patient had postoperative bleeding, one patient had abdominal infection, patients with complications were treated with antibiotics and hemostasis, and no improvement was found complication. During a 5-year follow-up, 15 patients were found dead in 19 patients who underwent subtotal gastrectomy, 12 died after 14 patients underwent subtotal gastrectomy, and 5 patients died in 7 patients undergoing total gastrostomy All patients after comparative analysis between groups found no statistical significance. Conclusion: The early surgical treatment of gastric cancer according to the disease to choose the correct surgical approach is very important for the prognosis of patients, surgical removal of metastatic lymph nodes is the key to successful operation.