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目的研究胃癌远处腹膜转移肿瘤姑息性切除的可行性问题。方法1994年9月至2004年9月共实施胃癌腹膜转移手术治疗44例,将其分为两组,胃癌姑息切除组29例,其中远处腹膜少处转移(P2)20例,远处腹膜多处转移(P3)9例;胃癌未切除组15例,其中P2 4例,P3 11例,探讨胃癌伴腹膜转移病人的存活率和影响存活率的因素。结果胃癌姑息切除组和未切除组的存活率差异有显著性(P=0.004),胃癌姑息切除组的中位生存时间为13.6个月,而未切除组的中位生存时间为4.5个月;胃癌切除组和非切除组内P2、P3组之间的存活率差异无显著性。结论腹膜转移的程度不是判断是否手术的标准,手术切除肿瘤病灶能提高P2和P3病人的存活率。
Objective To study the feasibility of palliative resection of distant peritoneal metastasis of gastric cancer. Methods From September 1994 to September 2004, 44 patients undergoing peritoneal metastasis of gastric cancer were divided into two groups: gastric palliative resection group (n = 29), distant peritoneal metastasis (n = 20), distant peritoneum There were 9 cases with multiple metastases (P3), 15 cases with unresectable gastric cancer, including 4 cases of P2 and 11 cases of P3. To investigate the survival rate and survival rate of patients with gastric cancer and peritoneal metastasis. Results The survival rate of gastric cancer palliative resection group and non resection group was significantly different (P = 0.004). The median survival time of gastric cancer palliative resection group was 13.6 months, while the median survival time of non resection group was 4.5 months. There was no significant difference in the survival rates between P2 and P3 groups in gastric cancer resection group and non-resection group. Conclusions The degree of peritoneal metastasis is not the standard for judging whether the surgery is performed. Surgical resection of tumor lesions can improve the survival rate of patients with P2 and P3.