朱勇 钱奕勋

[摘要] 目的 分析进展期胃癌的综合治疗方法和效果，以便于为今后的胃癌治疗提供比较有价值的参考依据。 方法 方便选取2010年7月—2015年7月期间在该院收治的26例进展期胃癌患者，均给予以根治性手术为主的综合治疗，观察治疗效果。结果 所有患者均顺利完成手术，手术切除率为100.0%，根治性切除率为92.3%。26例中获得随访26例，1、2年生存率分别为96.1%、92.3%，术后发生肺部感染6例，胸腔积液2例，术后并发症发生率为30.8%（8/26）。结论 对于胃癌患者的治疗，采取根治性手术为主的综合治疗方法可显著改善进展期胃癌患者预后，提高患者的生存率，减少并发症的发生情况，值得在今后的胃癌患者的治疗过程中推广应用。

[关键词] 进展期；胃癌；综合治疗

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）02（a）-0069-03

Comprehensive Treatment of Advanced Gastric Cancer

ZHU Yong， QIAN Yi-xun

Department of General Surgery， Yunnan Lijiang Peoples Hospital， Lijiang， Yunnan Province， 674100 China

[Abstract] Objective This paper tries to investigate the method and effect of comprehensive treatment of advanced gastric cancer， so as to provide valuable reference for the treatment of gastric cancer in the future. Methods Twenty-six patients with advanced gastric cancer admitted to this hospital from July 2010 to July 2015 were given comprehensive treatment based on radical surgery， and the therapeutic effect was observed. Results All patients were convenient selected and successfully completed surgery， surgical resection rate was 100.0%， radical resection rate was 92.3%. 26 cases were followed up. The 1-year and 2-year survival rates were 96.1% and 92.3% respectively. Postoperative pulmonary infection occurred in 6 cases and pleural effusion in 2 cases. The postoperative complication rate was 30.8% （8/26）. Conclusion For the treatment of patients with gastric cancer， radical surgery-based comprehensive treatment can significantly improve the prognosis of patients with advanced gastric cancer， improve patient survival and reduce the incidence of complications， it is worth to promote and apply in the future treatment of patients with gastric cancer.

[Key words] Advanced stage； Gastric cancer； Comprehensive treatment

胃癌是現在临床上比较常见的一种疾病，在我国的肿瘤发病中排在最前面。随着我国经济水平的不断向前发展，人们的生活方式发生了很大的变化，胃癌的患者也随之而不断增多，严重影响了患者的生活质量，还会给患者及其家属带来极大的精神和经济压力[1]。就目前我国医疗水平发展的现状来看，进展期胃癌患者手术治疗后预后较差，一般采用标准根治术（D2）治疗，但单纯的手术治疗疗效并不理想，有报道就指出单纯外科手术治疗进展期胃癌并不能有效防止术后腹膜的转移复发，术后近一半的患者因腹膜转移或复发死亡[2]。因为手术治疗主要是把肿瘤进行切除，所以造成的创伤相对较大，手术后会出现剧烈的疼痛。……