胃癌患者胃切除后消化道重建手术效果观察

Effect observation of digestive tract reconstruction after gastrectomy in patients with gastric cancer

目的探讨胃癌患者胃切除后消化道重建手术的效果。方法 2011年2—12月本院收治的98例胃癌患者按照消化道重建手术方案分为两组:P型空肠袢代胃手术组和Lahey+Braun吻合术组(每组49例),同时对两种手术方案、患者术后机体恢复情况、生存质量进行比较。结果 P型空肠袢代胃手术组机体功能恢复好于Lahey+Braun吻合手术组,术后并发症发生率也低于Lahey+Braun吻合手术组,半年后对两组患者随访结果显示P型空肠袢代胃手术组生存质量明显优于Lahey+Braun吻合手术组(P<0.05)。结论加强对消化道重建手术的探讨对选取更为合理的方案具有十分重要的临床价值。

Objective To analyze the effect of digestive tract reconstruction after gastrectomy in patients with gastric cancer. Methods Ninety eight patients with gastric cancer who underwent total gastrectomy in our hospital from February 2011 to December 2011 were divided into P-ype Roux-en-Y esophagojejunostomy group and Lahey＋Braun type group（49 cases in each group） according to the surgery methods of digestive tract reconstruction.The two surgery methods,the body recovery condition and quality of life after surgery were compared. Results The body recovery condition and quality of life after surgery in P-type Roux-en-Y esophagojejunostomy group were better than Lahey＋Braun type group,the postoperative complication rate was lower than that in Lahey＋Braun group（P0.05）.The half year follow-up results showed that the quality of life in patients of P-type Roux-en-Y esophagojejunostomy group was significantly better than that in Lahey＋Braun group. Conclusion Strengthening the investigation of digestive tract reconstruction has very important clinical value in selection of more reasonable solution.