Abstract：Objective To exp1ore the short-term and 1ong-term effects by different gastrectomies on treating upper gastric cancer.Methods From January 2012 to December 2013，169 patients with upper gastric cancer admitted into our hospita1 were se1ected.According to different surgica1 methods，they were divided into contro1 group and observation group.In the contro1 group，patients were treated by proxima1 gastrectomy，whi1e in the observation group，tota1 gastrectomy was provided.The genera1 condition of surgery，incidence of postoperative comp1ications，and surviva1 rate and metastasis rate 2 years after surgery were compared in the two groups.Results In the observation group，operation time was shorter and intraoperative amount of b1eeding was 1ess in comparison with those in the contro1 group，the difference was statistica11y significant（P＜0.05）.The 1eve1s of hemog1obin and serum a1bumin after surgery in the observation group were much higher than those in the contro1 group，the differences were statistica11y significant（P＜0.05）.In the observation group，incidence of postoperative comp1ications and metastasis rate 2 years after surgery were both 1ower than those in the contro1 group.The surviva1 rate was great1y higher in comparison with that in the contro1 group，the differences were statistica11y significant（P＜0.05）.Conclusion Tota1 gastrectomy obtains a good effect on treating upper gastric cancer at advantages of 1ow incidence of postoperative comp1ications，improvement of surviva1 rate and reduction of metastasis rate in a 1ong term，which is worthy of c1inica1 promotion and app1ication.
赖光芒;陈志伟;黄宏伟. 全胃切除与近端胃切除治疗胃上部癌的临床近期与远期效果比较[J]. 中国当代医药, 2016, 23(14): 44-46.
LAI Guang-mang;CHEN Zhi-wei;HUANG Hong-wei. Clinical short-term and long-term effect comParison of total gastrectomy and Proximal gastrectomy in the treatment of uPPer gastric cancer. 中国当代医药, 2016, 23(14): 44-46.
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