简介:中图分类号R473.6文献标识码A文章编号1672-3783(2015)07-0203-01摘要冠状动脉旁路移植术是治疗冠心病的有效方法,同时它又是一项高难度、高风险的手术。患者多为高龄,心功能相对较差,合并疾病多,做好围术期护理是冠状动脉旁路移植术成功及减少并发症发生的关键因素。
简介:摘要目的探讨胃癌合并腹水的临床病理特点及D2根治手术对患者预后的影响.方法以我院2008年5月到2010年5月56例收治的胃癌合并腹水患者设为观察组,选取同时期56例胃癌未合并腹水患者设为对照组,均根据实际情况行非手术和D2根治手术治疗,总结胃癌合并腹水的临床病理特点,并统计两组治疗后1、3、5年的存活状况.结果观察组患者的年龄、肝转移、腹膜种植、浸润深度分布状况与对照组相比存在显著性差异(P<0.05).观察组患者治疗后1、3、5年存活率于对照组相比明显较低,差异有统计学意义(P<0.05).观察组行D2根治术患者治疗后1、3、5年存活率与未行D2根治术患者相比明显较高,差异有统计学意义(P<0.05).结论临床上胃癌合并腹水患者预后较差,死亡率较高,使用D2根治术治疗胃癌合并腹水能有效提高患者存活率.关键词胃癌合并腹水;病理特点;D2根治术ClinicalandpathologicalcharacteristicsofgastriccancercombinedwithascitesandtheeffectofD2radicaloperationonprognosisofgastriccancerLizhi-guiNeijiangSecondPeople'sHospitalofSichuanProvinceSurgery641000AbstractobjectiveToinvestigatetheclinicalandpathologicalcharacteristicsofgastriccancerwithascitesandtheeffectofD2radicaloperationontheprogGnosisofpatients.MethodInourhospitalfromMay2008toMay2010,56casesofgastriccancerpatientswithascitesweretreatedastheobservationgroup,aconGtrolgroupwassetupin56patientswithgastriccarcinomawithoutascites.TwogroupsofpatientsweretreatedbynonoperationandD2radicaloperationaccordingtotheactualsituation.Tosummarizetheclinicalandpathologicalcharacteristicsofgastriccancerwithascites,Thesurvivalof1,3and5yearsaftertreatmentwasstatisticallyanalyzed.ResultThereweresignificantdifferencesinage,livermetastasis,peritonealmetastasis,depthofinvasioncomparewiththecontrolgroup(P<0.05).Thesurvivalrateoftheobservationgroupwassignificantlylowerthanthatinthecontrolgroupafter1,3and5year(P<0.05),ThesurvivalrateofpaGtientstreatedwithD2radicaloperationwassignificantlyhigherintheobservationgroupafter1,3,and5yearcomparedwiththepatientswithoutD2(P<0.05).ConclusionTheprognosisofpatientswithgastriccancercomplicatedwithascitesispoor,andmortalityishigh,D2radicalgastrectomyforgastriccancerwithasciGtescanKeeyffweocrtidvelyimprovethesurvivalrateofpatients.Gastriccancercomplicatedwithascites;Pathologicalfeatures;D2radicaloperation中图分类号R735文献标识码B文章编号1008-6315(2015)12-0841-02