| 潘明继,李永辉,陈莲舫.理胃化结汤结合手术与化疗治疗320例胃癌的疗效分析[J].中国中西医结合杂志,1986,(5):268-270,258 |
| 理胃化结汤结合手术与化疗治疗320例胃癌的疗效分析 |
| An Analysis of Curative Effect of 320 Cases of Gastric Cancer Treated with Li Wei Hua Jie Decoction(理胃化结汤)in Combination with Surgical Intervention and Chemotherapy |
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| DOI： |
| 中文关键词: 中西医结合治疗 生存率 手术后 姑息切除术 中晚期胃癌 减少并发症 根治术 远期生存 手术与化疗 白花蛇舌草 |
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| 中文摘要: |
| 本文以我院协定的理胃化结汤辨证加减结合化疗治疗320例手术后的中晚期胃癌,其中根治及姑息切除术3、5、10年生存率分别为60.50%、47.36%、18.42%及44.06%、23.16%、5%,比国内报告的纯西医治疗疗效为高。术前先行中西医结合调理,可减少并发症,提高疗效。凡生存较长者,大都是术后及时施行中西医结合治疗并坚持较久的病例。病期较早,精神乐观,癌细胞分化较高,溃疡癌变者预后较佳,反之较差。30岁以前,70岁以后预后不佳。理胃化结汤具有扶正抑癌功能,与手术、化疗结合能起到减毒增效的作用。 |
| 英文摘要: |
| This article deals with.the therapeutic effect of our jointly prescribed Li Wei H ua Jie Decoction(理胃化 结汤,decoction for regulation functioning of the stomach and eliminating stasis or node therein),with addition or subtraction of individual ingredients in combination with chemotherapy in the treatment of 320 cases of gastric cancer of medium-late stage after various kinds of operation:in 76 cases with radical operation the survival rate of 3,5 and 10 years is 60.52%,47.36% and 18.40% respectively,177 cases with palliative excision the survival rate of the same is 44.06%,23.16% and 5.00% respectively and of those treated with changed route operation,the 3-year survival rate is 15%,much higher than those treated with western medicine alone reported domestically.The clinical observation and experiments demonstrate that Li Wei Hun Jie Decoction has the effects of both Fu Zheng(扶正,promoting the host’s natural defence)and inhibiting cancer in the stomach.It is effective while administered alone,and more so in combination with surgical operation and chemotherapy.Surgical operation is still the main measure in treating gastric cancer up to the present.TCM-WM treatment given before the operation,will broaden indications or adaptabilities of cases for surgical intervention,reduce complications and increase curative effect.The longer survivals are mostly the result of timely and persistent application of TCM-WM treatment after operation.Prognosis would be better if the case is earlier in stage,the patient is optimistic,the differentiation of cancer cells is higher or changes in the ulcer of the cancer exist,Otherwise prognosis would be worse.Prognosis of patients before 30 years of age or after 70 is usually poor, |
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