保留迷走神经胃癌根治术治疗胃癌患者的临床疗效

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保留迷走神经胃癌根治术治疗胃癌患者的临床疗效

作者：谭贵永

来源：《中国医学创新》2013年第15期

【摘要】 目的：分析保留迷走神经胃癌根治术治疗胃癌患者的临床疗效。方法：将114例胃癌患者分为观察组（64例）与对照组（50例），分别采用保留迷走神经胃癌根治术和传统胃癌根治术治疗，对手术出血量、手术时间、术后肛门排气和排便时间，以及术中淋巴结扫描比、手术并发症发生率和5年生存率分别统计比较。结果：在手术出血量和手术时间上，两组差异无统计学意义；术后排气和排便时间观察组相对更短；另外，观察组手术淋巴结扫描比更高，术后并发症发生率更低，5年生存率明显更高；术后12个月观察组患者进食情况明显更佳；观察组手术整体效果更为明显。结论：保留迷走神经胃癌根治术在胃癌治疗中临床效果显著，值得推广应用。

【关键词】 迷走神经； 胃癌根治术； 胃癌； 疗效

Clinical Effect of Keeping Vagus Nerve Radical Gastrectomy for Gastric Cancer Patients/TAN Gui-yong.//Medical Innovation of China，2013，10（15）：052-053

【Abstract】 Objective： To analyze the clinical effect of keeping vagus nerve radical gastrectomy in treatent of gastric cancer patients.Method： 114 cases of gastric cancer patients were randomly divided into research group （64 cases） and control group （50 cases） . Patients in research group were treated with keeping vagus nerve radical gastrectomy and patients in control group were treated with traditional radical gastrectomy. The operative bleeding volume， operative time， postoperative anal exhaust and defecate time， intraoperative lymph node scanning ratio， occurrence rate of complication and 5 years survival rate were analyzed and compared. Result： There were no significant differences between two groups about operative bleeding volume and time（P>0.05）. The postoperative anal exhaust and defecate time of research group was shorter than that in control group. The intraoperative lymph node scanning ratio was high， occurrence rate of complication was low and 5 years survival rate was high in research group. Eating situation total effect of research group was significantly better than that in control group（P 【Key words】 Vagus nerve； Radical gastrectomy； Gastric cancer； Effect

First-author’s address： The Third People’s Hospital of Hechi City， Hechi 547000， China doi：10.3969/j.issn.1674-4985.2013.15.026