摘要
目的探讨P型Roux-en-Y全胃切除空肠代胃术(PR)对胃癌患者全胃切除术后生活质量的影响。方法实施PR全胃切除术的62例胃癌患者作为实验组,功能性空肠间置代胃重建术(FJI)患者60例作为对照组,所有患者在手术后3周行辅助化疗,观察患者术后生活质量,记录术后并发症发生率。结果实验组手术并发症发生率为11.3%,对照组为13.3%,经卡方检验,差异无统计学意义,P>0.05;实验组术后生活质量评分为(88.2±9.5)分,对照组为(76.6±9.0)分,经t检验,差异有统计学意义,P<0.05。结论 PR消化道重建术对患者生活质量影响较小,并发症发生率低,该术式安全可行。
Objective To investigate the effect of P-type Roux-en-Y reconstruction（PR） on the life quality of patients with gastric cancer after total gastrectomy. Methods Total 62 patients undergoing PR were taken as experimental subjects in experi-mental group. 60 cases of gastric reconstruction by functional jejunal interposition were chosen as control group. All of the patients received adjuvant chemotherapy at the 3rd week after the operation. The postoperative quality of life in patients was evaluated. The incidence of postoperative complications was recorded. Results The incidence of postoperative complications was 11.3% in ex-perimental group ,and 13.3% in control group. There was no significant difference by Chi square（ P 〉 0.05 ）. The postoperative qua/ity score of life in experimental group was 88.2 ± 9.5, and that in control group was 76.6 ± 9.0. There was significant differ-ence by T test （ P 〈 0.05 ）. Conclusion PR reconstruction is with fewer complications and can improve the quality of life. The operation is safe and feasible.
出处
《中华全科医学》
2013年第2期224-225,共2页
Chinese Journal of General Practice
