摘要
目的研究胃癌患者在全胃切除术中保留迷走神经的临床效果及应用前景。方法对63例胃癌患者行全胃切除术,术中保留迷走神经作为观察组;随机选择50例未保留迷走神经的全胃切除术患者作为对照组,比较两组患者手术后的自觉症状、进食情况、营养状况及术后并发症发生率。结果观察组患者较对照组患者术后在食欲、恶心、嗳气、腹泻、餐后饱胀感等方面有明显改善(P<0.05);术后6个月和1年时在吞咽困难、反流症状等方面,观察组患者明显优于对照组(P<0.05),两组患者在术后并发症发生率、住院时间及死亡率等方面相比较,差异无统计学意义(P>0.05)。结论保留迷走神经的全胃切除术能提高胃癌患者术后的生活质量,是比较理想的手术方式。
Objective To investigate the efficacy of total gastrectomy with vagus nerve preserved in patients with gastric cancer.Methods 63 patients received total gastrectomy with vagus nerve preserved,while other 50 patients received total gastrectomy with vagus nerve severed as control.The post-operative symptoms,the postprandial symptoms,food intake,nutritional parameters and complication rates were compared between the two groups.Results The patients with vagus nerve preserved had less symptoms after operation than those with vagus nerve severed such as anorexia,nausea,belch,diarrhea and postcibal satiety(P<0.05).The Incidence of symptoms such as dysphagia,belch were significantly lower in the patients with vagus nerve preserved six months and one year after operation than those with vagus nerve severed(P<0.05),The post-operative complication rates,length of hospitalization and mortality rates were similar between the two groups(P>0.05).Conclusions The total gastrectomy with vagus nerve preserved is valuable procedures for gastric cancer,which can improve the quality of life.
出处
《中华临床医师杂志（电子版）》
CAS
2011年第8期2232-2235,共4页
Chinese Journal of Clinicians(Electronic Edition)
关键词
胃肿瘤
胃切除术
迷走神经
治疗效果
Stomach neoplasm
Gastrectomy
Vagus nerve
Treatment outcome.
