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探讨胃癌手术切除后腹腔及肝转移的防治方法。对 2 18例胃癌切除术后病人随机分成术中腹腔温热低渗灌洗化疗及术后动脉灌注化疗 12 6例 (简称治疗组 )和单纯术后静脉化疗 92例(简称对照组 )。并对其腹腔转移率、肝转率及 3年生存率进行对照研究。结果治疗组腹腔转移率 2 7%、肝脏转移率 12 7%、3年生存率 6 9 5 %。对照组腹腔转移率 4 4 5 %、肝脏转移率 2 6 1%、3年生存率4 7 8%。本结果表明 ,术中温热低渗灌洗化疗及术后动脉化疗对进展期胃癌术后腹腔复发和肝转移有良好的防治作用。
To investigate the prevention and treatment of abdominal cavity and liver metastasis after resection of gastric cancer. Twelve hundred twenty-eight gastric cancer resection patients were randomly divided into intraperitoneal warm hypoglycemic lavage chemotherapy and postoperative arterial infusion chemotherapy of 12 6 cases (referred to as the treatment group) and simple postoperative intravenous chemotherapy 92 cases (referred to as the control group). And its peritoneal metastasis rate, liver metastasis rate and 3-year survival rate were compared. Results In the treatment group, the intra-abdominal metastasis rate was 27%, the liver metastasis rate was 12.7%, and the 3-year survival rate was 695%. In control group, the rate of peritoneal metastasis was 44.5%, liver metastasis rate was 26.1%, and the 3-year survival rate was 47.8%. The results show that intraoperative warm hypotonic lavage chemotherapy and postoperative arterial chemotherapy for advanced gastric cancer postoperative abdominal recurrence and liver metastasis have a good preventive effect.