连续间置空肠折叠代胃术在全胃切除术后消化道重建中的临床观察

Clinical observation on the reconstruction of the digestive tract with the continuous separate folded jejunum replacing stomach method after the total gastrectomy

目的探讨连续间置空肠折叠代胃术在全胃切除术后消化道重建中的作用。方法选取到本院进行消化道重建的胃全切患者72例,观察组36例进行连续间置空肠折叠代胃术,对照组36例进行食管空肠Roux-en-Y吻合术治疗。结果观察组对比对照组在每日进餐次数、每日的进食量、体重变化情况、血红蛋白和白蛋白等观察指标上具有明显优势。结论连续间置空肠折叠代胃术效果良好,值得临床推广使用。

Objective The curative effect of the continuous separate folded jejunum replacing stomach method on the re- construction of digestive tract after total gastrectomy was discussed in this paper. Methods Seventy-two cases who received a digestive-tract reconstruction after total gastreetomy in Shenzhen People＇s Hospital, were totally selected to be divided into observation group and contrast group. Then, the continuous separate folded jejunum replacing stomach method and the Roux-en-Y anastomosis were implemented for observation group （36 cases） and contrast group （36 cases）, respectively. Results The result shows that the observation group was obviously superior to the contrast group in observing indexes such as the number of daily meals, daily food-intake, weight change, hemoglobin and albumin. Conclusion Therefore, it can be concluded that the continuous separate folded jejunum replacing stomach method plays a good effect, and is worthy to be promoted clinically.