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目的:研究胃肠道肿瘤合并肝硬化门静脉高压症的术式选择。方法:选择2014年2月~2017年2月我院收治的60例胃肠道肿瘤合并肝硬化门静脉高压症患者作为研究对象,根据就诊先后顺序将60例患者分成两组,将先入院30例患者实施半胃切除术为对照组,后入院30例患者实施胃切除根治术为观察组,对比两组并发症、手术时间及住院时间。结果:观察组并发症发生率与对照组对比,分别是6.67%与30%,其中观察并发症发生率较低,两组对比有显著差异(P<0.05);观察组手术时间短于对照组,住院时间短于对照组,两组对比有显著差异(P<0.05)。结论:胃肠道肿瘤合并肝硬化门静脉高压症应用胃切除根治术治疗效果较好,而且可以缩短患者手术时间和住院时间,值得推广应用。
Objective: To study the surgical selection of gastrointestinal cancer complicated with cirrhosis and portal hypertension. Methods: From February 2014 to February 2017, 60 patients with gastrointestinal cancer complicated with cirrhosis and portal hypertension who were treated in our hospital were selected as the research objects. According to the order of treatment, 60 patients were divided into two groups, and 30 patients The patients underwent gastrectomy as the control group. After the admission, 30 patients underwent gastrectomy as the observation group. The complication, operation time and hospital stay were compared between the two groups. Results: The incidence of complications in the observation group was 6.67% and 30% compared with the control group, of which the observed incidence of complications was low, the difference between the two groups was significant (P <0.05); the operation time of the observation group was shorter than that of the control group , Shorter hospital stay than the control group, the two groups were significantly different (P <0.05). Conclusion: Gastrectomy with gastrointestinal cancer combined with liver cirrhosis and portal hypertension is effective, and can shorten the operation time and hospital stay, which is worth popularizing and applying.