摘要
目的:探讨改良胃空肠Roux-en-Y吻合术在胃肠手术中的临床应用价值,选择理想的胃空肠吻合术式。方法:2006年11月～2010年2月我科选择20例胃肠手术患者采用改良Roux-en-Y吻合术(在不切断空肠的前提下行胃空肠吻合加Brown吻合,同时阻断输入襻空肠)完成重建消化道,并进行回顾性分析。结果:全组无手术死亡和吻合口漏、出血、狭窄并发症出现,且未发现有明显症状的碱性反流性胃炎,无Roux潴留综合征发生。结论:改良胃空肠Roux-en-Y吻合术既具有标准Roux-en-Y吻合术的优点,又比标准Roux-en-Y吻合术操作简单、手术时间减少、并发症少,可以作为胃空肠吻合的首选术式。
Objective： To evaluate the modified gastrojejunostomy Roux-en-Y anastomosis in gastrointestinal surgery clinical value,to select the ideal surgical gastrojejunostomy.Methods： From Nov.2006 to Feb.2010,our department of gastrointestinal surgery in 20 patients with the modified Roux-en-Y anastomosis（jejunum,without cutting down the premise of Brown anastomosis plus gastrojejunostomy,while blocking the input loop of jejunum） completed the reconstruction of digestive tract,and analyzed retrospectively.Results： There was no operative mortality and anastomotic leakage,bleeding,stricture complications,and did not show obvious symptoms of alkaline reflux gastritis,no occurrence of Roux stasis syndrome.Conclusion： Modified gastrojejunostomy Roux-en-Y anastomosis with both the standard Roux-en-Y anastomosis advantage off than the standard Roux-en-Y anastomosis is simple,to reduce operation time,fewer complications,can be used as Gastrojejunostomy the preferred surgical anastomosis.
出处
《中国医药导报》
CAS
2011年第13期188-189,共2页
China Medical Herald
