新型连续性功能性间置空肠代胃术的临床应用研究

Clinical use of new type jejunum reconstruction

为了探讨胃恶性肿瘤全胃切除后较理想的消化道重建方式,对18例胃恶性肿瘤全胃切除的患者应用自行设计的新型功能性间置空肠代胃术,代胃容积300～400mL,代胃半排空时间50～90min,平均排空时间2.2h。结果:18例患者均恢复良好,无吻合口狭窄及吻合口瘘发生,无返流性食管炎及倾倒综合征,进食量、体质量和体力恢复迅速,术后随访>1年者17例,其中13例体质量较术前增加4～8kg,血红蛋白、血浆蛋白及总蛋白均恢复正常。全胃切除后行新型功能性间置空肠代胃术符合生理通道,简便安全,有利于食物的消化吸收,明显改善患者的生活质量,是一种理想的消化道重建术式。

The objective of this study was to explore the new type jejunum reconstruction for patients after total gastrectomy. The new type jejunum reconstruction was used in 18 patients with gastric carcinoma. The reconstructed stomach volume was 300-400 mL. The half-evacuation time was 50-90 minutes, and the mean evacuation time was 2.2 hours. All the 18 patients got good outcome without reflux esophagitis, anastomotic stricture, anastomotic leak age and dumping symptoms. Seventeen patients were followed up for more than 1 year, and 13 patients gained weight by 4-8 kg. The new type jejunum reconstruction can obviously improve the life quality of patients after total gastrectomy.