中国现代医学杂志2017，Vol.27Issue(6)：97-100,4.DOI:10.3969/j.issn.1005-8982.2017.06.020
胃裸区淋巴结清扫对胃癌患者预后的影响
Effect of gastric bare area lymphadenectomy on quality of life in patients with gastric cancer
王元 1姜淮芜 1徐亮 1谯时文 2袁淼 3陈进3
作者信息
- 1. 西南医科大学,四川 泸州 646000
- 2. 四川省乐山职业技术学院,四川 乐山 614000
- 3. 四川省绵阳四〇四医院,四川 绵阳 621000
- 折叠
摘要
Abstract
Objective To explore the quality of life in patients with gastric cancer who received stomach bare area lymphadenectomy. Methods The surgical and follow-up data of 185 cases, who had proximal radi-cal gastrectomy for gastric cancer, were collected. The patients were divided into two groups according to whether the lymph nodes in gastric bare area were removed. Group A included 95 cases who received D2 gastrectomy combined with stomach bare area lymphadenectomy. Group B included 90 cases who underwent routine D2 lymphadenectomy. The positive rate of lymph nodes in the stomach bare area, perioperative com-plications, incidences of adverse reactions, local recurrence rate, 5-year survival rate, and Spitzer score were recorded in different periods. Results The positive rate of lymph node of stomach bare area was as high as 66.3%. The local recurrence rate of the group A was significantly lower than that of the group B, while the 5-year survival rate was significantly higher than that of the group B. The postoperative quality of life was significantly improved in both groups, which was significantly better in the group A (P< 0.05). The total scores of the quality of life in the group A were significantly higher than those in the group B 12, 24 and 36 months after operation (P< 0.05). Conclusions Proximal radical gastrectomy with routine dissection of lymph nodes in stomach bare area can significantly improve the postoperative quality of life in patients with gastric cancer.关键词
Spitzer/生活质量/评分/靶向注射化疗/胃癌/胃裸区Key words
Spitzer score/quality of life/targeted chemotherapy/gastric cancer/stomach bare area分类
医药卫生引用本文复制引用
王元,姜淮芜,徐亮,谯时文,袁淼,陈进..胃裸区淋巴结清扫对胃癌患者预后的影响[J].中国现代医学杂志,2017,27(6):97-100,4.
