预防术后肠胃反流的胃大部切除手术

Study of Operative Types for Prevention of Alkaline Reflux Gastritis after Subtotal Gastrectomy

目的探讨预防胃大部切除术后碱性反流性胃炎的术式。方法回顾性分析42例行胃大部切除术患者的临床资料。分为传统Billroth-Ⅱ(B-Ⅱ)式组和改良B-Ⅱ式组各21例,对2组患者术后碱性反流性胃炎发生情况进行比较。结果传统B-Ⅱ式组胃肠引流液量平均为(330±35)mL,而改良B-Ⅱ式组胃肠引流液量平均为(105±20)mL,2组间比较差异有统计学意义(P<0.05)。结论与传统B-Ⅱ式相比,改良B-Ⅱ式碱性反流性胃炎发生率明显降低。

Objective To study the operative types for prevention of alkaline reflux gastritis after subtotal gastrectomy.MethodsWe reviewed 42 cases of the subtotal gastrectomy from 1999 to 2008,divided into traditional Billroth-Ⅱ group and upgraded Billroth-Ⅱgroup based on the different types of operations.Compared the condition alkaline reflux gastritis after subtotal gastrectomy in the two groups.ResultsThe average amount of stomach intestine drain in traditional B-Ⅱ group was(330 ± 35)mL,upgraded B-Ⅱgroup was(105 ± 20)mL,the difference of two groups has statistical significance(P<0.05).ConclusionCompared with traditional B-Ⅱ group,the incidence rate of Alkaline Reflux Gastritis of upgraded B-Ⅱgroup had degrated obviously.