目的：比较近端和全胃切除术治疗食管胃结合部癌的临床效果。方法选取我院收治107例食管胃结合部癌患者，根据治疗方法分组，研究组行近端胃切除术（53例），对照组行全胃切除术（54例），死亡病例不纳入研究，比较两组患者的术中出血量、住院时间、排气时间、禁食时间和卧床时间，并对两组患者术后并发症进行调查。结果研究组患者的住院时间、排气时间、禁食时间和卧床时间、术中出血量均明显少于对照组（P＜0.05）；研究组患者术后生并发症发生率跟对照组相比，（P＞0.05）。结论与全胃切除术相比，近端胃切除术治疗食管胃结合部癌的各项手术指标更好，是治疗食管胃结合部癌的理想术式。%Objective To compare the clinical effect of proximal and total gastrectomy in treatment of gastroesophageal junction carcinoma. We have treated 107 cases of esophagogastric junction cancer patients with the methods we use in our hospital.According to the treatment method of grouping,the study group for proximal gastrectomy (53 cases), the control group underwent total gastrectomy (54 cases),deaths are not included in the study,were compared between the two groups in the amount of bleeding during operation,hospitalization time,exhaust time, fasting time and bed time,and make a survey of patients of two groups of complications. Results The amount of bleeding in patients of the study group,the exhaust time,hospitalization time and bed time, postoperative fasting time was significantly less than the control group(P<0.05); the study group patients with epigenetic complication rate compared with the control group(P>0.05). Conclusion Compared with total gastrectomy, the operation index better proximal gastrectomy for the treatment of esophagogastric junction cancer,is the ideal surgical treatment.
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