摘要
目的 探讨胃癌根治术中针对合并肺功能不全患者应用胃造口术的临床意义.方法 总结2007年7月至2013年9月收治的32例远端胃癌合并肺功能不全患者,其中18例行胃癌根治术加胃造口术（治疗组）,14例行胃癌根治术加鼻胃管胃肠减压术（对照组）.对两组患者术后通气时间、术后住院时间、术后肺部感染发生率及围手术期存活例数进行统计学分析.结果 治疗组术后住院时间、术后肺部感染发生率明显低于对照组（P＜0.05）;术后通气时间、手术后3周内存活例数差异无统计学意义（P＞0.05）.结论 胃癌根治术中针对合并肺功能不全患者应用胃造口术是安全可靠的,与传统鼻胃管行胃肠减压方法相比,可明显减少肺部感染的发生,缩短患者住院时间,有利于患者术后恢复.
Objective To explore the significance of gastrostomy in radical gastrectomy for patients with gastric carcinoma complicated with pulmonary insufficiency.Methods The clinical data of 32 patients with distal gastric cancer complicated with pulmonary insufficiency who underwent radical gastrectomy from July 2007 to September 2013 were collected,among which 18 patients received gastrostomy （treatment group）and 14 patients accepted nasogastric decompression（control group）.Intestinal exhaust time,postoperative hospital stay,incidence of lung infection,survival cases within three weeks after operation were statistically analyzed.Results The postoperative hospital stay and incidence of lung infection in the treatment group were less than those in the control group（P ＜ 0.05）.There were no statistically significant differences in other items.Conclusion Gastrostomy is safe and reliable in radical gastrectomy for patients with pulmonary insufficiency.It can obviously shorten postoperative hospital stay and reduce the incidence of lung infection,which is helpful for the patient’s postoperative recovery.
出处
《临床外科杂志》
2014年第7期526-528,共3页
Journal of Clinical Surgery
关键词
胃癌根治术
肺功能不全
胃造口术
gastrostomy
pulmonary insufficiency
radical gastrectomy for gastric carcinoma
