Zhang X F
Union Hospital, Fujian Medical College, Fuzhou.
Zhonghua Zhong Liu Za Zhi. 1990 Jan;12(1):49-51.
From June 1972 to December 1986, 1108 patients with gastric cancer were treated in our hospital. Of them, 113 received non-operative therapy, 995 were operated and 803 had resectable tumors with a resection rate of 80.4%. 1042 patients were followed with a follow-up rate of 94.0%. The 1, 3 and 5 year survival rates were 81.4% (638/783), 42.3% (280/662) and 30.0% (159/529), respectively. According to our data, R2 or selective R3 procedure may be used as standard for advanced gastric carcinoma. For the stage IV patients whose tumors were not radically resected, palliative gastrectomy should be undertaken, if possible. Postoperative adjuvant chemotherapy can improve survival rates in patients with stages III and IV lesions.
1972年6月至1986年12月，我院共治疗1108例胃癌患者。其中，113例接受非手术治疗，995例接受手术治疗，803例肿瘤可切除，切除率为80.4%。1042例患者进行了随访，随访率为94.0%。1年、3年和5年生存率分别为81.4%（638/783）、42.3%（280/662）和30.0%（159/529）。根据我们的数据，R2或选择性R3手术可作为进展期胃癌的标准术式。对于肿瘤无法根治性切除的IV期患者，若有可能，应行姑息性胃切除术。术后辅助化疗可提高III期和IV期病变患者的生存率。
