摘要
目的探讨胃癌全胃切除术后两种消化道重建术式的临床比较。方法分析我院收治的胃癌全胃切除术80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40例和重建Ⅱ组40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,同时重建Ⅱ组腹痛腹泻、反流性食管炎、"倾倒"综合征发生率均低于重建Ⅰ组(P<0.05),差异均有统计学意义。结论改良空肠间置代胃术创伤小,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 clinical comparison of total gastrectomy for gastric cancer by two digestive tract reconstruction.Methods To analyze clinical data of total gastrectomy for gastric cancer in our hospital,which was to be divided into reconstruct Ⅰgroup 40 cases and reconstruct Ⅱgroup 40 cases by total gastrectomy for gastric cancer.Results The digestive tract reconstruction time、surgical reconstruction of the blood、serum total protein、 serum albumin of reconstruct Ⅱgroup of total gastrectomy for gastric cancer were better than reconstruct Ⅰgroup,then the abdominal pain and diarrhea、 reflux esophagitis、dumping syndrome Incidence rate of reconstruct Ⅱgroup were lower than reconstruct Ⅰgroup,P0.05,the differences were statistically significant.Conclusion The Improvement of gastrointestinal reconstruction by jejunal interposition after trauma,which was could promote the recovery of postoperative patients with digestive function,which was provided the quality of life,which was to be used.
出处
《中国医药指南》
2012年第13期44-45,共2页
Guide of China Medicine
关键词
胃癌
全胃切除术
消化道重建术式
Gastric cancer
Total gastrectomy
Digestive tract reconstruction
