非离断Roux-en-Y储袋法在全胃切除术中的研究

Non isolated Roux-en-Y storage bag method in total gastrectomy in research

目的探讨非离断式Roux-en-Y空肠储袋消化道重建法在全胃切除术中的临床研究及应用意义。方法将60例胃癌全胃切除手术患者按入院顺序简单随机化法分为对照组30例(常规Roux-en-Y消化道重建)、观察组30例(非离断Roux-en-Y储袋法消化道重建),对照两组消化道重建时间、术后半年反流性食管炎、倾倒综合征发生率、体重增加、血红蛋白、血清总蛋白、血清蛋白水平。结果两组消化道重建时间、术后半年体重增加、血红蛋白、血清总蛋白、血清蛋白水平比较分别(t=4.55、4.66、5.67、5.64、6.12,P<0.05);术后半年反流性食管炎、倾倒综合征发生率比较(χ2=4.33、4.56,P<0.05)。结论全胃切除术应用非离断式Roux-en-Y空肠储袋消化道重建法操作简便可行,能降低术后并发症和提高生活质量,是全胃切除术较理想的消化道重建术式。

Objective to investigate the non breaking type Roux-en-Y jejunal reservoir bag methods of reconstruction of digestive tract after total gastrectomy clinical research and application. Methods 60 cases of total gastrectomy for gastric cancer operation patients in hospital order simple randomization method was divided into30 cases of the control group （conventional Roux-en-Y reconstruction of the digestive tract）, the observation group 30 cases （non isolated Roux-en-Y storage bag method in digestive tract reconstruction）, control group two reconstruction of digestive tract after half a year of time, reflux esophagitis, dumping syndrome incidence, increased body weight, hemoglobin, serum total protein, serum protein level. Results Two groups of digestive tract reconstruction time, after half a year to gain weight, hemoglobin, serum total protein, serum protein level comparison respectively （t=4.55,4.66,5.67,5.64,6.12, P〈 0.05）,after half a year to reflux esophagitis, dumping syndrome incidence rate （χ2= 4.33,4.56, P〈0.05）. Conclusion Application of total gastrectomy disconnection type Roux-en-Y jejunal reservoir bag for digestive tract reconstruction method is simple and feasible, can reduce the postoperative complications and improve quality of life, total gastrectomy is ideal for digestive tract reconstruction.