摘要
目的:探讨胃癌切除后不同重建方式的情况。方法:分析本院收治胃癌全胃切除术40例临床资料,依据全胃切除术后消化道重建术式不同分为重建Ⅰ组(胃空肠Roux-en-y吻合术组)20例和重建Ⅱ组(非离断式Roux-en-y吻合术组)20例。结果:重建Ⅱ组胃癌全胃切除术患者消化道重建时间、术式重建出血量、血清总蛋白、血清白蛋白明显优于重建Ⅰ组,比较差异均有统计学意义(P<0.05),同时两组腹痛腹泻、反流性食管炎、"倾倒"综合征发生率均无明显差异。结论:非离断式Roux-en-y吻合术创伤小,可以促进术后患者消化功能恢复,提高患者生活质量,值得临床推广应用。
Objective: To approach after gastric cancer resection by different reconstruction methods. Method: To analyze 40 cases clinical data by different reconstruction methods in the hospital, which was to be divided into reconstruction of I group ( Roux-en-y gastric jejunum anastomosis group ) 20 cases and reconstruction of II group ( Non isolated type Roux-en-y anastomosis group ) 20 cases. Result: The digestive tract reconstruction time, amount of bleeding, surgical reconstruction of total serum protein, serum albumin of reconstruction of II group were better than reconstruction of I group, the difference was statistically significant (P〈0.05)then abdominal pain, diarrhea, reflux esophagitis, dumping syndrome incidence of reconstruction of two groups were no difference (P〉0.05) .Conclusion: The non isolated type Roux-en-y anastomosis of small trauma can promote the recovery of postoperative patients with digestive function, improve patients' quality of lives, which is worth to be used.
出处
《中国医学创新》
CAS
2013年第11期45-46,共2页
Medical Innovation of China