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目的探讨30岁以下胃癌病人的外科治疗方法和治疗效果。方法回顾性分析我院1992年1月~2004年1月收治的30岁以下胃癌病人45例的临床资料。本组均行手术治疗,其中,行根治性切除28例、姑息性切除13例、剖腹探查4例。结果本组无手术死亡病例。术后发生急性肾功能不全1例、切口感染2例、术后出血1例、不全性肠梗阻1例。有38例获随访1年~13年,在31个月内因肝脏、肺、骨等远处转移或肿瘤复发死亡13例。3年、5年生存率分别为44.7%和21.1%。结论根治性手术是治疗青年人胃癌的主要措施。综合治疗能改善病人的生活质量。
Objective To investigate the surgical treatment of gastric cancer patients under the age of 30 and its therapeutic effect. Methods The clinical data of 45 patients with gastric cancer under 30 years of age admitted from January 1992 to January 2004 in our hospital were retrospectively analyzed. This group of patients underwent surgical treatment, of which radical resection in 28 cases, palliative resection in 13 cases, laparotomy in 4 cases. Results This group no surgical deaths. Postoperative acute renal insufficiency in 1 case, incision infection in 2 cases, postoperative bleeding in 1 case, incomplete intestinal obstruction in 1 case. Thirty-eight patients were followed up for 1 year to 13 years. Thirty-three patients died within 31 months due to distant metastasis of liver, lung, bone or tumor recurrence. The 3-year and 5-year survival rates were 44.7% and 21.1% respectively. Conclusions Radical surgery is the main treatment for gastric cancer in young people. Comprehensive treatment can improve the quality of life of patients.